Individual
KIMBERLY FELLENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 S HOME AVE, TOPTON, PA 19562-1317
(610) 682-1400
Mailing address
6024 PARKSIDE CT, EAST PETERSBURG, PA 17520-1245
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
6241
NC
225200000X
Physical Therapy Assistant
TE010881
PA
225200000X
Physical Therapy Assistant
Primary
TEI004832
PA
Other
Enumeration date
04/15/2016
Last updated
03/17/2018
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