Individual
JOSUE ISAAC AGUILAR MIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
33 N MAIN ST, PITTSTON, PA 18640-1949
(570) 208-2787
Mailing address
523 3RD AVE APT 2, SCRANTON, PA 18505-1074
(570) 604-1903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013653
PA
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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