Individual
GARY OSWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E MOUNTAIN BLVD, WILKES BARRE, PA 18702-7911
(570) 825-5894
Mailing address
201 ALBERDEEN RD, MOUNTAIN TOP, PA 18707-9590
(570) 582-8931
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000196
PA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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