Individual
MR. DONNA MARIE CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
525 ROUND HEAD DR, WEATHERLY, PA 18255-3721
(570) 427-4340
Mailing address
525 ROUND HEAD DR, WEATHERLY, PA 18255-3721
(570) 427-4340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000739
PA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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