# NORTHEASTERN REHABILITATION ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104878412
- **Authorized official:** LISA MONAHAN-GATTO (CEO)
- **Authorized official phone:** (570) 344-3788

## Contact information

- **Practice address:** 5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
- **Practice address phone:** (570) 344-3788
- **Practice address fax:** (570) 969-9280
- **Mailing address:** 5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
- **Mailing address phone:** (570) 344-3788
- **Mailing address fax:** (570) 969-9280

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 09/17/2024