Individual
RICHARD E KETCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 LYNWOOD AVE, SCRANTON, PA 18505-2868
(570) 346-7381
(570) 347-2443
Mailing address
88 JAMES ST, SHAVERTOWN, PA 18708-1518
(570) 696-4518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008832
PA
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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