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Organization
MARC FEDERICO PT LLC
Active
Organization
MARC FEDERICO PT LLC
Active
Other names
Marc Federico Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC STEPHEN FEDERICO PT DPT (PHYSICAL THERAPIST)
(724) 925-6260
Entity
Organization
Contact information
Practice address
621 SOUTH FIFTH STREET, SUITE B, YOUNGWOOD, PA 15697
(724) 925-6260
(724) 925-6260
Mailing address
621 SOUTH FIFTH STREET, SUITE B, YOUNGWOOD, PA 15697
(724) 925-6260
(724) 925-6260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008417L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235671
AETNA US HEALTHCARE
PA
01
—
1784124
HIGHMARK
PA
01
—
431807
HEALTH AMERICA
PA
Enumeration date
08/08/2006
Last updated
06/20/2008
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