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Organization
MILE-LEVEL PHYSICAL THERAPY
Active
Organization
MILE-LEVEL PHYSICAL THERAPY
Active
Parent organization
MILE-LEVEL PHYSICAL THERAPY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILE-LEVEL PHYSICAL THERAPY
Authorized official
MICHAEL E GENTRY PT, MTC (PRESIDENT)
(814) 623-9022
Entity
Organization
Contact information
Practice address
7799 WOODBURY PIKE, ROARING SPRING, PA 16673-1141
(814) 729-7021
(814) 729-7068
Mailing address
7799 WOODBURY PIKE, ROARING SPRING, PA 16673-1141
(814) 729-7021
(814) 729-7068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009733210001
—
PA
Enumeration date
09/20/2017
Last updated
03/17/2018
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