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Organization
JOHNS PHYSICAL THERAPY
Active
Organization
JOHNS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CARLETON JOHNS P.T. (OWNER)
(570) 366-0300
Entity
Organization
Contact information
Practice address
400 PINE BROOK PL, SUITE 2, ORWIGSBURG, PA 17961-2350
(570) 366-0300
(570) 366-3999
Mailing address
400 PINE BROOK PL, SUITE 2, ORWIGSBURG, PA 17961-2350
(570) 366-0300
(570) 366-3999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002285E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017087720002
—
PA
05
—
1708772/01
—
PA
01
—
764150
BLUESHIELD
PA
Enumeration date
03/30/2006
Last updated
08/25/2011
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