Individual
JILL DETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 BLOOM ST, DANVILLE, PA 17821-1611
(717) 599-6496
Mailing address
507 BLOOM ST, DANVILLE, PA 17821-1611
(717) 599-6496
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012058
PA
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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