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Organization
POTTSVILLE AREA PHYSICAL THERAPY SERVICES P.C.
Active
Organization
POTTSVILLE AREA PHYSICAL THERAPY SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP A MALLOY (PRESIDENT)
(570) 622-6648
Entity
Organization
Contact information
Practice address
2655 WOODGLEN RD, POTTSVILLE, PA 17901-1335
(570) 622-6648
(570) 628-4709
Mailing address
2655 WOODGLEN RD, POTTSVILLE, PA 17901-1335
(570) 628-4709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003353L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02507100
CAPITAL BLUE CROSS
PA
Enumeration date
03/27/2006
Last updated
08/22/2020
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