Individual
DENISE MAE HERSHBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1008 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-4747
Mailing address
18 WEST SIDE ROAD, JERSEY SHORE, PA 17740
(570) 753-2063
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002602L
PA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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