Individual
GLICELYN CEREZO PASCUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1666 MOUNT HOPE AVE, POTTSVILLE, PA 17901-1302
(570) 622-2525
(570) 628-4572
Mailing address
B3 ERB ST, ORWIGSBURG, PA 17961
(570) 581-6476
(570) 628-4572
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018369
PA
Other
Enumeration date
11/03/2009
Last updated
11/25/2014
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