Individual
MRS. CAROL PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 770-5365
(570) 770-5366
Mailing address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 770-5365
(570) 770-5366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5452L
PA
Other
Enumeration date
09/06/2014
Last updated
12/25/2015
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