Individual
DAVID NEIL MACKNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 SCHUYLKILL MANOR RD, POTTSVILLE, PA 17901-3862
(570) 624-3228
Mailing address
1016 FOUNTAIN ST, ASHLAND, PA 17921-9010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009073
PA
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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