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Individual

MRS. HEIDI ARLENE TAVERNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, LPTA

Contact information

Practice address
1 LONGSDORF WAY, CARLISLE, PA 17015-7623
(717) 240-6025
Mailing address
411 LINE RD, MECHANICSBURG, PA 17050-4144
(717) 982-1698

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003515
PA

Other

Enumeration date
07/11/2017
Last updated
07/11/2017
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