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Organization
PEDIATRIC THERAPY, LLC
Active
Organization
PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE ANN SKUTCH PT (SOLE OWNER)
(814) 421-2754
Entity
Organization
Contact information
Practice address
514 ORCHARD ST, PORTAGE, PA 15946-1626
(814) 421-2754
Mailing address
514 ORCHARD ST, PORTAGE, PA 15946-1626
(814) 421-2754
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/24/2014
Last updated
04/17/2016
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