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Organization
MRS PHYSICAL THERAPY
Active
Organization
MRS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY FLAMINIO (BILLING/CREDENTIALING SUPERVISOR)
(814) 602-2740
Entity
Organization
Contact information
Practice address
4538 PEACH ST, ERIE, PA 16509-1364
(814) 864-6650
(814) 806-2557
Mailing address
500 MARKET ST, W BRIDGEWATER, PA 15009-2998
(724) 728-7550
(724) 728-6648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001397845
BCBS OF PA
PA
01
—
CK4547
RAILROAD MEDICARE
PA
Enumeration date
05/30/2006
Last updated
08/22/2023
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