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Organization

CUMBERLAND ORTHOPEDIC & SPINE PHYSICAL THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE A DOMINQUEZ PT (CHIEF EXECUTIVE OFFICER OWNER)
(717) 591-3000
Entity
Organization

Contact information

Practice address
6375 MERCURY DRIVE, SUITE 100, MECHANICSBURG, PA 17050
(717) 591-3000
(717) 591-3003
Mailing address
6375 MERCURY DRIVE, SUITE 100, MECHANICSBURG, PA 17050
(717) 591-3000
(717) 591-3003

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
261QP2000X
Physical Therapy Clinic/Center
PT007707L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0078126060002
PA
Enumeration date
08/31/2006
Last updated
06/04/2025
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