Individual
MRS. DANA J PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
723 EAST MAIN ST., BRADFORD, PA 16701-3247
(814) 363-4621
(814) 362-1066
Mailing address
P.O. BOX 616, 723 EAST MAIN ST., BRADFORD, PA 16701
(814) 362-4621
(716) 665-1160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
020254
NY
225100000X
Physical Therapist
Primary
PT013092L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02754218
—
NY
Enumeration date
07/27/2006
Last updated
08/16/2013
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