Individual
TIVEN ANNETTE TENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 WINTER MOUNTAIN RD, LEHIGHTON, PA 18235-9158
(570) 952-1527
Mailing address
575 S 9TH ST, LEHIGHTON, PA 18235-2517
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT006286L
PA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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