# LAUREL HIGHLANDS NEURO-REHABILITATION

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

## Provider details

- **NPI number:** 1689727273
- **Authorized official:** LARRY RUTLEDGE PHD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (814) 629-4223

## Contact information

- **Practice address:** 111A ROOSEVELT BOULEVARD, JOHNSTOWN, PA 15906
- **Practice address phone:** (814) 619-4223
- **Practice address fax:** (814) 539-0985
- **Mailing address:** 1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
- **Mailing address phone:** (814) 410-8330
- **Mailing address fax:** (814) 410-8331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TR0400X | Rehabilitation Psychologist | PS008498L | PA | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 07/23/2008