Individual
MAGGIE MAE WALLACE MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 NORTH ST, CLEARVILLE, PA 15535-4824
(814) 784-3598
Mailing address
125 NORTH ST, CLEARVILLE, PA 15535-4824
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010452
PA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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