# RISING STARS YOUTH TRAINING.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427857937
- **Authorized official:** JOHN UNDERWOOD (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (272) 770-9700

## Contact information

- **Practice address:** 33 PUBLIC SQ, WILKES BARRE, PA 18701-1701
- **Practice address phone:** (272) 770-9700
- **Mailing address:** 229 HORTON ST \# 31, WILKES BARRE, PA 18702-3434
- **Mailing address phone:** (272) 770-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | NULL | Yes |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 10/18/2025