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Contact Information

PHYSICAL THERAPY AND REHABILITATION CLINIC INC
1569 SMITH TOWNSHIP STATE ROAD
SUITE 2
ATLASBURG, PA15004
 Phone: 724-947-9999
 Fax: 740-264-4376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for PHYSICAL THERAPY AND REHABILITATION CLINIC INC

NPI # 1063588093
LBN Legal business name PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Authorized official DAVE RASICCI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 03/25/2009 - About 17 years ago
Identifiers
PA License # PT001148E
PA Medicaid 0019673260001
PA Other 485432 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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