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Individual

DR. AMY CLARE BRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1212 ONEILL HWY, DUNMORE, PA 18512-1717
(570) 969-1162
(570) 969-1167
Mailing address
710 CLARK ST, THROOP, PA 18512-1129
(570) 487-1291

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015660
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1011967750001
PA
Enumeration date
04/26/2006
Last updated
11/20/2007
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