Individual
IAN SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 TAYLORSVILLE MOUNTAIN RD, PITMAN, PA 17964-9104
(866) 333-6002
Mailing address
101 W 2ND MOUNTAIN RD, POTTSVILLE, PA 17901-8212
(570) 573-9897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010513
PA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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