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Organization
PHYSICAL THERAPY SERVICES OF HOMETOWN, INC.
Active
Organization
PHYSICAL THERAPY SERVICES OF HOMETOWN, INC.
Active
Other names
Physical Therapy Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN GIMBEL PT, DPT, CHT (TREASURER)
(570) 668-1889
Entity
Organization
Contact information
Practice address
219 CLAREMONT AVE, TAMAQUA, PA 18252-4431
(570) 668-1889
(570) 668-6115
Mailing address
219 CLAREMONT AVE, TAMAQUA, PA 18252-4431
(570) 668-1889
(570) 668-6115
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
2255A2300X
Athletic Trainer
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02424300
CAPITAL BLUE CROSS
—
01
—
124450
AETNA
—
01
—
544038
HIGHMARK BLUE SHIELD
—
Enumeration date
03/23/2006
Last updated
03/22/2011
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