Organization
HAZLETON PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE OH (MEMBER)
(570) 501-1808
Entity
Organization
Contact information
Practice address
1077 N CHURCH ST, HAZLE TOWNSHIP, PA 18202-1465
(570) 501-1808
(855) 635-6308
Mailing address
1077 N CHURCH ST, HAZLE TOWNSHIP, PA 18202-1465
(570) 501-1808
(855) 635-6308
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022051260001
—
PA
Enumeration date
10/13/2006
Last updated
01/10/2020
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