Organization
BACK MOUNTAIN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT WEINMAN (PARTNER)
(570) 574-1505
Entity
Organization
Contact information
Practice address
345 MARKET ST, KINGSTON, PA 18704-5447
(570) 283-1124
Mailing address
345 MARKET ST, KINGSTON, PA 18704-5447
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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