Sandra Diane Fonzo, PTA
NPI #1336840347 in Nanticoke, Pennsylvania
Provider Information
- NPI Number
- 1336840347
- Entity Type
- Individual
- Name
- Sandra Diane Fonzo, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 15, 2023
- Last Updated
- Mar 15, 2023
Practice Location
- Address
- 395 MIDDLE RD
- City
- Nanticoke
- State
- Pennsylvania
- ZIP Code
- 18634-3806
- Phone
- (570) 735-2973
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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