Individual
PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 S MAIN ST, MANSFIELD, PA 16933-1512
(570) 662-1400
Mailing address
11 1/2 N MAIN ST APT A, MANSFIELD, PA 16933-1403
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT024747
PA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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