Individual
ANGELA LAVELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5 HILLTOP RD, HUGHESTOWN, PA 18640-2936
(570) 654-1319
Mailing address
5 HILLTOP RD, HUGHESTOWN, PA 18640-2936
(570) 654-1319
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016419
PA
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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