Theda Lorraine Tallman
Physical Therapy Assistant in Williamsport, PA. Individual provider (NPI-1).
NPI number1801445010
StatusActive
Last updated in NPPESSep 10, 2019
Details
- NPI
- 1801445010
- Entity type
- Individual (NPI-1)
- Name
- Theda Lorraine Tallman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2019
- Last updated
- Sep 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | TEI001718 | PA | Yes |
Practice location
625 W Edwin StWilliamsport, PA 17701-4909
Phone 570-326-0565
Mailing address
625 W Edwin StWilliamsport, PA 17701-4909
Phone 570-326-0565
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All 30 Physical Therapy Assistant providers in Williamsport · All 1,734 providers in Williamsport
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