Doctor Name: | JOSHUA PRALL |
NPI Number: | 1528476538 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | TPT021557 |
Business Practice Address: | 239 Northern Blvd South Abington Township, PA - 184119302 |
Business Phone Number: | 5705872142 |
Business Fax Number: | 5705871978 |
Mailing Address: | 208 S Main St, MOSCOW |
State: | PA |
Postal Code: | 184449135 |
Phone Number: | 5708429323 |
Fax Number: | 5708429362 |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | TPT021557 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |