Organization
EASTER SEALS WESTERN AND CENTRAL PENNSYLVANIA
Active
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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