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Organization
MISHOCK PHYSICAL THERAPY & ASSOCIATES, LLC
Active
Organization
MISHOCK PHYSICAL THERAPY & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LYNN MISHOCK (ADMINISTRATOR)
(610) 327-2600
Entity
Organization
Contact information
Practice address
1806 SWAMP PIKE, SUITE 100, GILBERTSVILLE, PA 19525-9307
(610) 327-2600
(610) 327-9050
Mailing address
1806 SWAMP PIKE, SUITE 100, GILBERTSVILLE, PA 19525-9307
(610) 327-2600
(610) 327-9050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012572L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700467
HIGHMARK
—
01
—
2372393000
INDEPENDENCE
PA
Enumeration date
07/15/2006
Last updated
01/24/2010
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