Individual
KYLIE RENEE SIKORSKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 HIGH ST, LOCK HAVEN, PA 17745-3029
(570) 748-8034
Mailing address
108 BEECH CREEK AVE, MILL HALL, PA 17751-1609
(570) 660-3224
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
TE012087
PA
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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