Individual
KATELYNN LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 23RD AVE, ALTOONA, PA 16601-3904
(814) 569-3908
Mailing address
316 23RD AVE, ALTOONA, PA 16601-3904
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE011239
PA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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