Individual
MISS KRISTINA MARIE DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1140 HIGHWAY 315, SUITE 207, WILKES BARRE, PA 18711-0911
(570) 970-0402
Mailing address
1140 HIGHWAY 315, SUITE 207, WILKES BARRE, PA 18711-0911
(570) 970-0402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DAPT003258
PA
225100000X
Physical Therapist
40QA01442600
NJ
Other
Enumeration date
07/24/2012
Last updated
12/15/2016
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