Individual
PAULINE HELENA GIDEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 VALLEY HEIGHTS DR, WILLIAMSPORT, PA 17701-1949
(575) 691-6877
Mailing address
160 VALLEY HEIGHTS DR, WILLIAMSPORT, PA 17701-1949
(575) 691-6877
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
32741142
PA
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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