Individual
TRACI LYNN DUFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 W 27TH ST, HAZLETON, PA 18202-9604
(570) 454-8888
Mailing address
383 HUDSONDALE ST, WEATHERLY, PA 18255-1308
(570) 427-5073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEOOO169L
PA
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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