Individual
MISS KRISTEN ELAINE IMLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
816 BEDFORD ST, CLAYSBURG, PA 16625-9999
(814) 381-6713
Mailing address
816 BEDFORD ST, CLAYSBURG, PA 16625-9999
(814) 381-6713
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE 010438
PA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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