Individual
MICHELLE DIANNA HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 RED HORSE RD, POTTSVILLE, PA 17901-4209
(570) 621-7200
Mailing address
116 LEHIGH AVE, ORWIGSBURG, PA 17961-1302
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI1000687
PA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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