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Organization
SPECTRUM THERAPY LLC
Active
Organization
SPECTRUM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI F BULKLEY (PARTNER)
(570) 553-1633
Entity
Organization
Contact information
Practice address
RR 1 BOX 1836, STANLEY LAKE ROAD, FRIENDSVILLE, PA 18818-9620
(570) 553-1633
Mailing address
RR 1 BOX 1836, STANLEY LAKE ROAD, FRIENDSVILLE, PA 18818-9620
(570) 553-1633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012634L
PA
Other
Enumeration date
05/09/2007
Last updated
11/12/2008
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