Individual
NICHOLAS SAMUEL HREHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
107 MALONEY ST, DUNMORE, PA 18512-3158
(157) 036-2041
Mailing address
107 MALONEY ST, DUNMORE, PA 18512-3158
(157) 036-2041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012727
PA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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