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KIMBERLY FELLENBAUM

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1790139772

Individual Registrant:
 KIMBERLY  FELLENBAUM 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 S HOME AVE  TOPTON, PA 19562-1317 US
Tel: 610-682-1400  Fax: --

Contact information for business:
6024 PARKSIDE CT  EAST PETERSBURG, PA 17520-1245 US
Tel: --  Fax: --

Registration Information:
NPI: 1790139772
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
NC6241
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
PATE010881
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
PATEI004832

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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