Organization
NORTH PENN THERAPEUTICS AND PHYSICAL THERAPY, INC
Active
Other names
Corry Works Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON R BAILEY MPT (OWNER/ADMINISTRATOR)
(814) 664-9346
Entity
Organization
Contact information
Practice address
512 E COLUMBUS AVE, CORRY, PA 16407-9014
(814) 664-9346
(814) 663-0169
Mailing address
512 E COLUMBUS AVE, CORRY, PA 16407-9014
(814) 664-9346
(814) 663-0169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT009652L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
457211
BLUE SHIELD PROVIDER NUMB
PA
Enumeration date
07/13/2005
Last updated
01/27/2010
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