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Individual

CIENA DIANE LAVALLEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1691 BETHLEHEM PIKE, HATFIELD, PA 19440-1302
(267) 308-5330
(267) 308-5331
Mailing address
200 MCNAIR CIR, NORTHAMPTON, PA 18067-9196
(714) 616-4695

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030051
PA

Other

Enumeration date
11/29/2021
Last updated
08/22/2022
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