Individual
MRS. AMY E. STANISLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2125 ELIZABETH AVE., LAURELDALE, PA 19605
(610) 921-9292
Mailing address
326 KINDT CORNER RD., LEESPORT, PA 19533-8626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTO14297
PA
Other
Enumeration date
10/22/2008
Last updated
01/30/2023
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