Individual
KAITLYN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1417 CORNELL ST, SCRANTON, PA 18504-3012
(570) 881-7456
Mailing address
1417 CORNELL ST, SCRANTON, PA 18504-3012
(570) 881-7456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI006386
PA
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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