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Organization
KINGSTON SPINE & SPORT PHYSICAL THERAPY PC
Active
Organization
KINGSTON SPINE & SPORT PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY G PARKER JR. DPT (OWNER)
(607) 316-0987
Entity
Organization
Contact information
Practice address
310 MARKET ST, KINGSTON, PA 18704-5425
(570) 288-1185
(570) 288-2050
Mailing address
PO BOX 1588, KINGSTON, PA 18704-0588
(570) 288-1185
(570) 288-2050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT023101
PA
Other
Enumeration date
05/18/2016
Last updated
01/04/2017
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