Individual
LISA BACHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
311 N MARKET ST, APT. A, SELINSGROVE, PA 17870-1909
(570) 765-2104
Mailing address
311 N MARKET ST, APT. A, SELINSGROVE, PA 17870-1909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007181
PA
Other
Enumeration date
08/12/2011
Last updated
08/12/2011
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