Individual
CHARLENE TISSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1146 W CHESTNUT ST, WASHINGTON, PA 15301-4631
(724) 223-1207
(724) 223-1209
Mailing address
625 LINCOLN AVE STE 107, CHARLEROI, PA 15022-2451
(724) 483-1673
(724) 483-0290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008338L
PA
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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