Individual
MR. WILLIAM DANE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2 MANOR BLVD, MIFFLINTOWN, PA 17059-8757
(717) 436-2178
Mailing address
37903 ROUTE 35 N, RICHFIELD, PA 17086-8421
(717) 694-0012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000817
PA
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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