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Organization

EASTER SEALS WESTERN AND CENTRAL PENNSYLVANIA

Active
Other names
Easter Seals Western Pennsylvania
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES G BENNETT (EXECUTIVE VICE PRESIDENT)
(412) 281-7244
Entity
Organization

Contact information

Practice address
232 WALNUT ST, JOHNSTOWN, PA 15901-2913
(814) 535-5508
(814) 536-4943
Mailing address
232 WALNUT ST, JOHNSTOWN, PA 15901-2913
(814) 535-5508
(814) 536-4943

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
231H00000X
Audiologist
235Z00000X
Speech-Language Pathologist
251300000X
Local Education Agency (LEA)
251C00000X
Developmentally Disabled Services Day Training Agency
401090
PA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
436050
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100001771
DPW PROVIDER NUMBER
PA
Enumeration date
03/28/2007
Last updated
03/24/2022
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