Individual
BRENDA HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2356
Mailing address
620 HOWARD AVE, ALTOONA, PA 16601-4804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007469L
PA
Other
Enumeration date
11/17/2016
Last updated
03/17/2021
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