Individual
MRS. JOANNE FAGAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
115 S PROVIDENCE RD, WALLINGFORD, PA 19086-6333
(610) 565-3232
Mailing address
115 S PROVIDENCE ROAD, WALLINGFORD, PA 19086
(610) 565-3232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE00200L
PA
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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