Individual
MRS. BRENDA LEE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1510 HIGHWAY 61 SOUTH, POTTSVILLE, PA 17901-8409
(570) 385-5522
Mailing address
1498 MOUNTAIN RD, PINE GROVE, PA 17963-8695
(570) 449-8205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000199
PA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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