Individual
MR. ROBERT KERMIT COURSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 N RIVER ST, WILKES BARRE, PA 18702-2631
(570) 825-5611
Mailing address
440 N RIVER ST, WILKES BARRE, PA 18702-2631
(570) 825-5611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005577L
PA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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