Organization
EASTER SEALS CENTRAL PA
Active
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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