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Organization

EASTER SEALS CENTRAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE RYAN (EXECUTIVE VP/CFO)
(814) 689-1911
Entity
Organization

Contact information

Practice address
383 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7679
(814) 689-1911
Mailing address
383 ROLLING RIDGE DR, STATE COLLEGE, PA 16801-7679

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019699
PA
335E00000X
Prosthetic/Orthotic Supplier
PT019699
PA

Other

Enumeration date
09/26/2011
Last updated
09/26/2011
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