Individual
KANDACE KISKURNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
280 MIDDLE HOLLAND RD, HOLLAND, PA 18966-4822
(215) 396-7137
Mailing address
413 N PINE ST APT 3A, LANGHORNE, PA 19047-2251
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011335
PA
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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