Organization
GLENDALE REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D BURMEISTER JR. B.S.P.T (PRESIDENT)
(814) 672-5700
Entity
Organization
Contact information
Practice address
850 MAIN STREET, SUITE 4, COALPORT, PA 16627-0207
(814) 672-5700
(814) 672-5702
Mailing address
850 MAIN STREET, SUITE 4, COALPORT, PA 16627-0207
(814) 672-5700
(814) 672-5702
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT006763-L
PA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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