Individual
JASON KURILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 STURGES RD, PECKVILLE, PA 18452-1302
(570) 383-7320
Mailing address
81 STURGES RD, PECKVILLE, PA 18452-1302
(570) 383-7320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003994
PA
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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