Organization
FOULDS PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L FOULDS MPT (CEO PHYSICAL THERAPIST)
(570) 758-2080
Entity
Organization
Contact information
Practice address
4145 STATE ROUTE 147, HERNDON, PA 17830-7311
(570) 758-2080
(570) 758-2081
Mailing address
4145 STATE ROUTE 147, HERNDON, PA 17830-7311
(570) 758-2080
(570) 758-2081
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT008487L
PA
Other
Enumeration date
03/02/2007
Last updated
12/08/2008
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