Individual
LISA WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-5300
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-5300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001516
PA
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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