Individual
TOBY DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 LAKEMONT PARK BLVD STE 100, ALTOONA, PA 16602-5967
(814) 946-5411
Mailing address
625 CHIMNEY ROCKS RD, HOLLIDAYSBURG, PA 16648-9598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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