Organization
SPRAGUE PHYSICAL THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL EDWARD DAVIESS PT (PRESIDENT/ADMINISTRATOR)
(412) 481-1188
Entity
Organization
Contact information
Practice address
734 E WARRINGTON AVE, PITTSBURGH, PA 15210-1565
(412) 481-1188
Mailing address
734 E WARRINGTON AVE, PITTSBURGH, PA 15210-1565
(412) 481-1188
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155119
UNISON HEALTH PLAN
PA
05
—
1011184290001
—
PA
Enumeration date
07/11/2006
Last updated
08/22/2020
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