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Organization
MEDICAL TECHNICAL REHABILITATION LLC
Active
Organization
MEDICAL TECHNICAL REHABILITATION LLC
Active
Other names
MedTech Rehab Blairsville
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PLAITANO (CEO)
(724) 834-1144
Entity
Organization
Contact information
Practice address
1984 ROUTE 22 HWY W, BLAIRSVILLE, PA 15717-1264
(724) 459-4884
(724) 459-4886
Mailing address
1984 ROUTE 22 HWY W, BLAIRSVILLE, PA 15717-1264
(724) 459-4884
(724) 459-4886
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
327022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
PA
Enumeration date
12/09/2011
Last updated
12/09/2011
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