Individual
AMBER VANSICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1534 SWARTZ RD, LEWISBURG, PA 17837-7668
(570) 412-6113
Mailing address
1534 SWARTZ RD, LEWISBURG, PA 17837-7668
(570) 412-6113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003175
PA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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