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Individual

GWENDOLYN MARIE OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A

Contact information

Practice address
404 E HARFORD ST, MILFORD, PA 18337-1028
(570) 409-9191
Mailing address
213 SPRUCE LAKE DR, MILFORD, PA 18337-4278
(570) 369-9133

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011305
PA

Other

Enumeration date
07/08/2017
Last updated
07/08/2017
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