Pediatric Therapy, Llc

NPI 1235552357 - Physical Therapist - 225100000X

NPI Details
NPI 1235552357
Enumeration Date 01/24/2014
Last Updated 04/17/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name LAURIE ANN LAURIE
Position SOLE OWNER
Phone (814) 421-2754
Fax
Practice Location
514 ORCHARD ST
PORTAGE PA, 15946-1626, US
Phone (814) 421-2754
Fax
Business Location
514 ORCHARD ST
PORTAGE PA, 15946-1626, US
Phone (814) 421-2754
Fax
Toxanomy
Taxonomy Code 225100000X
License State Pennsylvania
License Number PT013478L
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According to our database, Pediatric Therapy, Llc NPI is 1235552357, taxonomy code is 225100000X and license number is PT013478L, license state is located at Pennsylvania. Pediatric Therapy, Llc physically located at 514 Orchard St, Portage PA, 15946-1626. NPI Number 1033115704 has the healthcare provider type.

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1235552357 NPI number is provided on an as is basis without warranty of any kind. 1235552357 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Therapy, Llc are for informational purposes only.