Individual
JARED BONCZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2 BRIARHILL CIR, SOUTH ABINGTON TOWNSHIP, PA 18411-1602
(570) 504-6036
Mailing address
2 BRIARHILL CIR, SOUTH ABINGTON TOWNSHIP, PA 18411-1602
(570) 504-6036
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005000
PA
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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