Individual
PATRICIA DETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COMMUNTIY DRIVE, SUITE 105, TOBYHANNA, PA 18466
(570) 839-9975
(570) 839-3395
Mailing address
100 COMMUNTIY DRIVE, SUITE 105, TOBYHANNA, PA 18466
(570) 839-9975
(570) 839-3395
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000332
PA
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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