Individual
MADISON HIMMELREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 SCOTTSDALE DR, MIFFLINBURG, PA 17844-9415
(570) 428-3853
Mailing address
195 SCOTTSDALE DR, MIFFLINBURG, PA 17844-9415
(570) 428-3853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI006601
PA
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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