Individual
PAUL CLAYTON DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6596 ORPHANAGE RD, QUINCY, PA 17247
(717) 762-6500
(717) 762-6501
Mailing address
PO BOX 217, 6596 ORPHANAGE RD, QUINCY, PA 17247
(717) 677-9921
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002794
PA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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