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Individual

MICHELE LOUISE BIANCULLI-KOLP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
658 PA-739, LORDS VALLEY, PA 18444-6054
(570) 775-5050
Mailing address
233 CEMETERY RD, MOSCOW, PA 18444-6054
(570) 906-1156

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1004174
PA

Other

Enumeration date
01/21/2026
Last updated
01/21/2026
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