Individual
CARLY CENTOFANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 TERRACE DR, UNIONTOWN, PA 15401-8991
(724) 322-6434
Mailing address
630 CLARENDON AVE, UNIONTOWN, PA 15401-4116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001759
PA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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