Lisa Jo Trickett PTA

NPI 1164673026 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1164673026
Gender Female
Enumeration Date 10/08/2008
Last Updated 10/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2125 ELIZABETH AVE
LAURELDALE PA, 19605-2259, US
Phone (610) 927-9985
Fax
Business Location
2125 ELIZABETH AVE
LAURELDALE PA, 19605-2259, US
Phone (610) 927-9985
Fax
Toxanomy
Taxonomy Code 225200000X
License State Pennsylvania
License Number TE005976L
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According to our database, Mrs. Lisa Jo Trickett PTA NPI is 1164673026, taxonomy code is 225200000X and license number is TE005976L, license state is located at Pennsylvania. Lisa Jo Trickett PTA physically located at 2125 Elizabeth Ave, Laureldale PA, 19605-2259. NPI Number Lisa Jo Trickett PTA has the Individual type.

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1164673026 NPI number is provided on an as is basis without warranty of any kind. 1164673026 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Jo Trickett PTA are for informational purposes only.