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Organization
THE CENTER FOR PEDIATRIC THERAPY, INC
Active
Organization
THE CENTER FOR PEDIATRIC THERAPY, INC
Active
Parent organization
THE CENTER FOR PEDIATRIC THERAPY, INC
Other names
the center for pediatric therapy, inc - occupational therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CENTER FOR PEDIATRIC THERAPY, INC
Authorized official
WAYNE S JENSEN (BUSINESS MANAGER)
(610) 670-8600
Entity
Organization
Contact information
Practice address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Mailing address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001477L
PA
225X00000X
Occupational Therapist
OC009011
PA
225X00000X
Occupational Therapist
OC009036
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1985028
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/28/2007
Last updated
12/28/2007
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