Individual
MS. LORETTA LYN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
31 PARK AVE, MEADVILLE, PA 16335-9435
(814) 332-9237
Mailing address
19396 BOONE ST, MEADVILLE, PA 16335-9028
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000028
PA
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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