Individual
JERCORA WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
541 N FRANKLIN ST, SHAMOKIN, PA 17872-6754
(570) 644-2000
Mailing address
201 W 1ST ST APT B2, BLOOMSBURG, PA 17815-1139
(570) 912-3371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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