Individual
CHERYL WIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3001 W GROVE PL, GIBSONIA, PA 15044-6067
(724) 625-4971
Mailing address
3001 W GROVE PL, GIBSONIA, PA 15044-6067
(724) 625-4971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE007518
PA
Other
Enumeration date
02/05/2008
Last updated
10/25/2010
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