Individual
THOMAS EDWARD MCCABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
257 HEMLOCK DR, PORTAGE, PA 15946-2058
(814) 418-7084
Mailing address
257 HEMLOCK DR, PORTAGE, PA 15946-2058
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
TE-010453
PA
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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