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Organization
PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Active
Organization
PHYSICAL THERAPY AND REHABILITATION CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVE J RASICCI DPT (OWNER)
(724) 947-9999
Entity
Organization
Contact information
Practice address
1569 SMITH TOWNSHIP STATE ROAD, SUITE 2, ATLASBURG, PA 15004
(724) 947-9999
(740) 264-4376
Mailing address
1569 SMITH TOWNSHIP STATE ROAD, SUITE 2, ATLASBURG, PA 15004
(724) 947-9999
(740) 264-4376
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001148E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019673260001
—
PA
01
—
485432
BLUE CROSS BLUE SHIELD
PA
Enumeration date
11/28/2006
Last updated
03/25/2009
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