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Individual

JON KRIESHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15 RIDGECREST CIR, LEWISBURG, PA 17837-6367
(570) 522-6234
Mailing address
108 MOORESBURG RD, DANVILLE, PA 17821-7039
(570) 205-3755

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000999
PA

Other

Enumeration date
01/21/2019
Last updated
01/21/2019
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