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Organization
ADVANCED MEDICAL AND REHAB OF WILLIAMSPORT, P.C.
Active
Organization
ADVANCED MEDICAL AND REHAB OF WILLIAMSPORT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN TOKACH DC (PRESIDENT)
(570) 322-1245
Entity
Organization
Contact information
Practice address
100 ECK CIR, SUITE 1, WILLIAMSPORT, PA 17701-3876
(570) 322-1245
Mailing address
100 ECK CIR, SUITE 1, WILLIAMSPORT, PA 17701-3876
(570) 322-1245
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
—
NULL
111NS0005X
Sports Physician Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
06/24/2013
Last updated
04/21/2020
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