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Organization
PERFORMING ARTS TRAINING ACADEMY, LLC
Active
Organization
PERFORMING ARTS TRAINING ACADEMY, LLC
Active
Other names
PATA Rehabilitation Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARI M. TELLIS PH.D (OWNER)
(570) 406-9083
Entity
Organization
Contact information
Practice address
100 N WILKES BARRE BLVD STE 409, WILKES BARRE, PA 18702-5235
(570) 406-9083
Mailing address
PO BOX 1388, KINGSTON, PA 18704-0379
(570) 288-8881
(570) 288-8065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL006394L
PA
Other
Enumeration date
10/28/2016
Last updated
06/11/2024
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