Individual
THOMAS JOHN STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
800 KING RUSS RD, HARRISBURG, PA 17109-5101
(717) 657-1520
Mailing address
800 KING RUSS RD, HARRISBURG, PA 17109-5101
(717) 657-1520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001302
PA
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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