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Organization
PHYSICAL THERAPY SERVICES OF HOMETOWN, INC.
Active
Organization
PHYSICAL THERAPY SERVICES OF HOMETOWN, INC.
Active
Other names
Physical Therapy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA ANN KLEPCHICK (OFFICE ADMINISTRATOR)
(570) 668-1889
Entity
Organization
Contact information
Practice address
219 CLAREMONT AVE, TAMAQUA, PA 18252-4431
(570) 668-1889
(570) 668-6115
Mailing address
219 CLAREMONT AVE, TAMAQUA, PA 18252-4431
(570) 668-1889
(570) 668-6115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008621
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001894810 0005
—
PA
01
—
02424300
CAPITAL BLUE CROSS
—
01
—
49550
HEALTH ASSURANCE
—
01
—
544038
HIGHMARK BLUE SHIELD
—
01
—
GROUP # 800195
FIRST PRIORITY HEALTH
—
01
—
GROUP # E44038
AMERIHEALTH
—
01
—
GROUP #0117094000
INDEPENDENCE BLUE CROSS
—
Enumeration date
04/18/2007
Last updated
08/22/2020
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