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Organization
PENN OHIO REHABILITATION, PC
Active
Organization
PENN OHIO REHABILITATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L HOLZWORTH (SECRETARY/TREASURER)
(724) 962-7920
Entity
Organization
Contact information
Practice address
152 WAUGH AVE, NEW WILMINGTON, PA 16142
(724) 946-3313
(724) 946-3313
Mailing address
1599 N HERMITAGE RD, HERMITAGE, PA 16148-3180
(724) 962-7920
(724) 962-7920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1983093
HIGHMARK
PA
Enumeration date
08/22/2007
Last updated
11/27/2007
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