Individual
GINA FICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFTS
Contact information
Practice address
119 N 2ND ST REAR, LEWISBURG, PA 17837-1564
(570) 523-0822
(570) 523-0847
Mailing address
119 N 2ND ST REAR, LEWISBURG, PA 17837-1564
(570) 523-0822
(570) 523-0847
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
738494000
MEDICARE PROVIDER NUMBER
PA
Enumeration date
01/17/2015
Last updated
10/05/2015
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