Individual
ROBIN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 N HERMITAGE RD, HERMITAGE, PA 16148-3112
(724) 347-6660
Mailing address
1115 N HERMITAGE RD, HERMITAGE, PA 16148-3112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002649
PA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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