Individual
MITCHELL GUIMARAES LACERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2004 OLD ARCH RD, NORRISTOWN, PA 19401-2008
(610) 277-0380
Mailing address
1705 TOWNHOUSE BLVD, SCRANTON, PA 18508-2414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012969
PA
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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