Individual
MARISSA ALLISON RABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 LAKE STREET, EPHRATA, PA 17522
(717) 738-7979
Mailing address
26 S LIME ST, QUARRYVILLE, PA 17566-1232
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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