Individual
KATHLEEN MARIE LELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 WOODLANDS DR, WAYMART, PA 18472-9366
(570) 488-9884
Mailing address
139 E ATHERTON ST, TAYLOR, PA 18517-1801
(570) 562-2260
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TPTA000096
PA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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