Individual
MR. BERNARD JOSEPH POVANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
501 S MAIN ST, OLD FORGE, PA 18518-1541
(570) 457-4099
(570) 457-7225
Mailing address
21 KIPLING DR, MOOSIC, PA 18507-1933
(570) 344-9585
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005968L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072427
FIRST PRIORITY HEALTH
—
01
—
235569
HEALTH AMERICA
—
01
—
472307
AMERI HEALTH
—
01
—
472307Q69
STERLING OPTIONS I
—
01
—
650012236
RAILROAD MEDICARE
—
01
—
9357839
CIGNA
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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