Individual
NICOLE ELISE WODRIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2605
Mailing address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003072
PA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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