Individual
AILEEN B AMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
470 JEFFERS ST, DU BOIS, PA 15801-2438
(814) 371-0171
Mailing address
916 TREASURE LK, DU BOIS, PA 15801-9021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002499L
PA
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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