Individual
PAMELA KEPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 DOGWOOD DR, PHILIPSBURG, PA 16866-1982
(814) 342-8489
Mailing address
826 COAL RUN RD, OSCEOLA MILLS, PA 16666-9207
(814) 339-7025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000264
PA
Other
Enumeration date
10/14/2009
Last updated
11/04/2009
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