Individual
MARY ELLEN DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
220 S RIVER ST, PLAINS, PA 18705-1137
(570) 824-3444
Mailing address
512 GREEN ST, DURYEA, PA 18642-1413
(717) 418-4054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1003694
PA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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