Individual
STEPHEN DOMBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 RURAL AVE, WILLIAMSPORT, PA 17701-1669
(570) 323-4340
Mailing address
1201 RURAL AVE, WILLIAMSPORT, PA 17701-1669
(570) 323-4340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009122
PA
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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