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Organization
NORTHEAST PHYSICAL THERAPY, PC
Active
Organization
NORTHEAST PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON MILLER PT (PRESIDENT)
(570) 825-9722
Entity
Organization
Contact information
Practice address
601 WYOMING AVE, KINGSTON, PA 18704-9801
(570) 825-9722
(570) 825-9723
Mailing address
601 WYOMING AVE, KINGSTON, PA 18704-9801
(570) 825-9722
(570) 825-9723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533432
AETNA
PA
Enumeration date
03/12/2007
Last updated
01/17/2023
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