Individual
MAXWELL DYLAN ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 9TH ST, MCKEESPORT, PA 15132-3952
(412) 675-8600
Mailing address
6714 BUCHANAN AVE, WEST MIFFLIN, PA 15122-2730
(412) 651-0619
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005215
PA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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