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Individual

TOM BENNETT TRUNZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
205 CARLISLE ST, HOMER CITY, PA 15748-1330
(724) 479-3275
Mailing address
205 CARLISLE ST, HOMER CITY, PA 15748-1330
(724) 479-3275

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001422
PA

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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