Individual
KEVIN KLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2605
Mailing address
1374 LIBERTY VALLEY RD, DANVILLE, PA 17821-6992
(570) 764-2175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
PA
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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