Organization
ELITE SPINE AND SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DIGWOOD PT (OWNER)
(570) 991-2082
Entity
Organization
Contact information
Practice address
182 BUTLER STREET, WILKES BARRE, PA 18702
(570) 970-0402
(570) 970-0403
Mailing address
182 BUTLER STREET, WILKES BARRE, PA 18702
(570) 970-0402
(570) 970-0403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
PA
261QP2000X
Physical Therapy Clinic/Center
PT011055L
PA
Other
Enumeration date
02/05/2013
Last updated
06/06/2018
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