Individual
MADISON ENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(877) 287-3422
Mailing address
24 CHEROKEE LN, WILLIAMSPORT, PA 17701-1212
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1006874
PA
Other
Enumeration date
04/07/2025
Last updated
04/21/2025
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