Organization
BODY DYNAMIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JULIE LYNN TINKELMAN P.T. (OWNER)
(570) 840-1115
Entity
Organization
Contact information
Practice address
115 E GROVE ST, CLARKS SUMMIT, PA 18411-1773
(570) 586-1188
(570) 585-7323
Mailing address
302 RABBIT RUN, CLARKS SUMMIT, PA 18411-8876
(570) 840-1115
(570) 585-7323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015440
PA
Other
Enumeration date
04/16/2009
Last updated
05/20/2009
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