Individual
BRITTANY KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1242 ROUTE 204, SELINSGROVE, PA 17870-8995
(570) 412-2144
Mailing address
1242 ROUTE 204, SELINSGROVE, PA 17870-8995
(570) 412-2144
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003568
PA
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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