# POTENA PHYSICAL THERAPY INC

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

## Provider details

- **NPI number:** 1538153507
- **Authorized official:** DAVID P POTENA PT MED (PRESIDENT)
- **Authorized official phone:** (717) 270-6078

## Contact information

- **Practice address:** 32 W PENN AVE, CLEONA, PA 17042-3201
- **Practice address phone:** (717) 270-6078
- **Practice address fax:** (717) 270-6094
- **Mailing address:** 32 W PENN AVE, CLEONA, PA 17042-3201
- **Mailing address phone:** (717) 270-6078
- **Mailing address fax:** (717) 270-6094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | DAPT000540 | PA | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT005829L | PA | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 08/22/2020