Theda Lorraine Tallman
NPI #1801445010 in Williamsport, Pennsylvania
Provider Information
- NPI Number
- 1801445010
- Entity Type
- Individual
- Name
- Theda Lorraine Tallman
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Sep 10, 2019
- Last Updated
- Sep 10, 2019
Practice Location
- Address
- 625 W EDWIN ST
- City
- Williamsport
- State
- Pennsylvania
- ZIP Code
- 17701-4909
- Phone
- (570) 326-0565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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