Individual
BRIAN MATTHEW CLOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2781 LUTHER DR, CHAMBERSBURG, PA 17202-8131
(717) 660-2482
Mailing address
2781 LUTHER DR, CHAMBERSBURG, PA 17202-8131
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI004818
PA
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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