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Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOCIATES, INC.
Active
Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JODY HENSON P.T (PT)
(724) 483-3361
Entity
Organization
Contact information
Practice address
625 LINCOLN AVE, PROFESSIONAL PLAZA, STE 208, CHARLEROI, PA 15022-2451
(724) 483-4886
(724) 483-0519
Mailing address
625 LINCOLN AVE, PROFESSIONAL PLAZA, STE 208, CHARLEROI, PA 15022-2451
(724) 483-4886
(724) 483-0519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001593585
—
PA
01
—
152066
MEDICARE ID TYPE UNSPEC.
PA
Enumeration date
04/05/2006
Last updated
02/06/2013
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