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Organization
NORTHEAST PT ASSOCIATES, INC.
Active
Organization
NORTHEAST PT ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK SERATCH III MPT (SECRETARY-TREASURER)
(570) 459-4559
Entity
Organization
Contact information
Practice address
1751 E BROAD ST, HAZLETON, PA 18201-5650
(570) 459-4559
(570) 459-4558
Mailing address
1751 E BROAD ST, HAZLETON, PA 18201-5650
(570) 459-4559
(570) 459-4558
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
DAPT000042
PA
225X00000X
Occupational Therapist
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00053019
HIGHMARK BLUE SHIELD
PA
01
—
2471582
CIGNA
PA
01
—
2483752
AETNA
PA
01
—
435084
HEALTH AMERICA
PA
01
—
50002332
CAPITAL BLUE CROSS
PA
01
—
812310
FIRST PRIORITY HEALTH
PA
Enumeration date
08/12/2005
Last updated
12/26/2007
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