Individual
KAITLIN CORREALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
902 HUDSON DR, WEATHERLY, PA 18255
(570) 578-8205
Mailing address
902 HUDSON DR, WEATHERLY, PA 18255-2818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003885
PA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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