Individual
MRS. LEEANN MARIE SHOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, PTA
Contact information
Practice address
224 LIBERTY ST UNIT A, WARREN, PA 16365-2344
(814) 230-5909
Mailing address
2 CUTTING ST, JAMESTOWN, NY 14701-7217
(716) 489-1233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
010794-1
NY
225200000X
Physical Therapy Assistant
TEI004449
PA
225700000X
Massage Therapist
Primary
MSG012750
PA
Other
Enumeration date
05/09/2019
Last updated
06/08/2019
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