Individual
KELLY ANN PAINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 1ST AVE, POTTSVILLE, PA 17901-2065
(570) 628-6950
Mailing address
2200 1ST AVE, POTTSVILLE, PA 17901-2065
(570) 622-6761
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001026
PA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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