Individual
ALISHA MO TENBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
218 ANDRUS LN, GILLETT, PA 16925-9244
(570) 596-7644
Mailing address
218 ANDRUS LN, GILLETT, PA 16925-9244
(570) 596-7644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019987-1
NY
174400000X
Specialist
PT016588
PA
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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