Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT016941 | PA |
NPI | 1003061961 |
---|---|
Provider Name | Mr. John Quinn Tremel |
First Address | Ebensburg, PA 15931-5720 |
Second Address | Johnstown, PA 15905-3028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2008 |
Last Update Date | 19/11/2008 |