Individual
BETHANN LANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 935-5823
Mailing address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 935-5823
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000320
PA
Other
Enumeration date
03/05/2018
Last updated
04/02/2021
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