Individual
JANE MAHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
97 WAGNER RD, JERSEY SHORE, PA 17740-9160
(570) 772-7794
Mailing address
97 WAGNER RD, JERSEY SHORE, PA 17740-9160
(570) 772-7794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000137
PA
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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