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Organization
PENN CENTRAL PHYSICAL THERAPY, INC.
Active
Organization
PENN CENTRAL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M PUSKARICH P.T. (PRESIDENT)
(814) 447-5521
Entity
Organization
Contact information
Practice address
626 WATER STREET, ORBISONIA, PA 17243
(814) 447-5521
(814) 447-3966
Mailing address
622 WATER STREET, ORBISONIA, PA 17243
(814) 447-5521
(814) 447-3966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0412
BLUE CROSS
PA
01
—
120318200
FEDERAL WORKERS COMP
—
01
—
PE895986
BLUE SHIELD
PA
Enumeration date
05/23/2006
Last updated
06/07/2010
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