Individual
MARY JANE FRANCINE MINNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(610) 891-3030
(610) 891-3035
Mailing address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(610) 891-3030
(610) 891-3035
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE006988
PA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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