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Organization
SPECIALTY PHYSICAL THERAPY LLC
Active
Organization
SPECIALTY PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY W CARPENTER DPT (OWNER)
(570) 991-1530
Entity
Organization
Contact information
Practice address
1062 WYOMING AVE, WYOMING, PA 18644-1331
(570) 991-1530
Mailing address
1062 WYOMING AVE, WYOMING, PA 18644-1331
(570) 991-1530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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