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Organization
MAYLATH THERAPY GROUP, INC.
Active
Organization
MAYLATH THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A MAYLATH (PRESIDENT)
(570) 708-2525
Entity
Organization
Contact information
Practice address
REAR 750 STATE RTE 93, SYBERTSVILLE, PA 18251-0323
(570) 708-2525
(570) 788-9330
Mailing address
PO BOX 323, REAR 750 STATE RTE 93, SYBERTSVILLE, PA 18251-0323
(570) 708-2525
(570) 788-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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