Individual
CARLY TEATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1200 GRUBB RD, PALMYRA, PA 17078-3514
(717) 838-5406
Mailing address
3220 LINDEN PKWY, HARRISBURG, PA 17110-9305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1005263
PA
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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