Individual
ELLEN JANE VANBUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
829 ELECTRIC ST, SCRANTON, PA 18509-1903
(570) 878-8363
Mailing address
829 ELECTRIC ST, SCRANTON, PA 18509-1903
(570) 878-8363
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002486
PA
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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