Individual
SARA SOUBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 OLD FAYETTE TRL, OAKDALE, PA 15071-9740
(412) 622-4812
Mailing address
540 OLD FAYETTE TRL, OAKDALE, PA 15071-9740
(412) 622-4812
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEO-010666
PA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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