Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT015388 | PA |
NPI | 1053452722 |
---|---|
Provider Name | Thomas A Valentine JR. |
First Address | Manchester, PA 17345-1527 |
Second Address | York, PA 17403-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 11/03/2013 |