Individual
CAROLYN JEAN ENGDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
195 KRUSHKA RD, SHICKSHINNY, PA 18655-4523
(570) 542-7897
Mailing address
195 KRUSHKA RD, SHICKSHINNY, PA 18655-4523
(570) 542-7897
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016418
PA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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