Individual
JULIE KREIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
541 N FRANKLIN ST, SHAMOKIN, PA 17872-6754
(570) 644-2000
Mailing address
151 TANGLEWOOD LN, SUNBURY, PA 17801-6206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1004084
PA
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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