Organization
MEDICAL TECHNICAL REHABILITATION LLC
Active
Other names
MedTech Rehab Blairsville
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PLAITANO (CEO)
(724) 834-1144
Entity
Organization
Contact information
Practice address
1984 ROUTE 22 HWY W, BLAIRSVILLE, PA 15717-1264
(724) 459-4884
(724) 459-4886
Mailing address
1984 ROUTE 22 HWY W, BLAIRSVILLE, PA 15717-1264
(724) 459-4884
(724) 459-4886
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
327022
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLYING
—
PA
Enumeration date
12/09/2011
Last updated
12/09/2011
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