Individual
MRS. STACIE A PALERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 E 16TH ST, BERWICK, PA 18603-2314
(570) 759-5400
Mailing address
801 E 16TH ST, BERWICK, PA 18603-2314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009107
PA
Other
Enumeration date
10/14/2011
Last updated
03/02/2017
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