Individual
MR. TRENT M ROADCAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
62 ROADCAP LN, HALIFAX, PA 17032-9085
(717) 571-9851
Mailing address
62 ROADCAP LN, HALIFAX, PA 17032-9085
(717) 571-9851
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001791
PA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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