Individual
MS. MARISA MARIE MAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
502 GREENWOOD AVE, POTTSVILLE, PA 17901-3730
(570) 294-9538
Mailing address
502 GREENWOOD AVENUE, POTTSVILLE, PA 17901
(570) 294-9538
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE-003002-L
PA
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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