Organization
ASTRA PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN WEAKLAND PT (ADMINISTRATOR)
(724) 454-9713
Entity
Organization
Contact information
Practice address
4075 BRIARWOOD DR, JEANNETTE, PA 15644-4054
(724) 454-9713
Mailing address
4075 BRIARWOOD DR, JEANNETTE, PA 15644-4054
(724) 454-9713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005999L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001607949
HIGHMARK BCBS
—
Enumeration date
04/20/2006
Last updated
01/26/2010
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