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Individual

DIANE M SMULLIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
149 S HUNTER HWY, DRUMS, PA 18222-2422
(570) 788-7555
Mailing address
65 N VINE ST, HAZLETON, PA 18201-5847
(570) 233-0955

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI001734
PA

Other

Enumeration date
03/10/2020
Last updated
03/10/2020
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