Individual
MRS. STACEY MARIE HINTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 ROBERTS RD, PITTSTON, PA 18640-3111
(570) 655-2891
Mailing address
200 NORTHPOINTE CIR, SEVEN FIELDS, PA 16046-7861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002005
PA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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