Individual
KIMBERLY MARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 GOUCHER ST, JOHNSTOWN, PA 15905-2942
(814) 255-7500
Mailing address
45 GARDNER ST, JOHNSTOWN, PA 15905-2553
(814) 255-4965
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009550
PA
Other
Enumeration date
05/14/2016
Last updated
05/14/2016
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