Individual
JENNIFER KALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45 N SCOTT ST, CARBONDALE, PA 18407-1833
(570) 282-1099
Mailing address
428 SICKLER POND RD, JERMYN, PA 18433-3624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003999
PA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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