Individual
CARRIE ELIZABETH FLEMMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10736 CENTER AVE, CONNEAUT LAKE, PA 16316-2814
(330) 507-6116
Mailing address
10736 CENTER AVE, CONNEAUT LAKE, PA 16316-2814
(330) 507-6116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEI002845
COMMON WEALTH PF PA
PA
Enumeration date
02/07/2023
Last updated
02/07/2023
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