Individual
SIELE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3005 MARKET STREET RD, HARRISBURG, PA 17109-5718
(717) 602-6907
Mailing address
3005 MARKET STREET RD, HARRISBURG, PA 17109-5718
(717) 602-6907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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