Individual
CARINA WILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
207 W SUMMIT ST, SOUDERTON, PA 18964-2054
(215) 723-2182
Mailing address
207 W SUMMIT ST, SOUDERTON, PA 18964-2054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010244
PA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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