Organization
FAMILY PHYSICAL THERAPY
Active
Organization
FAMILY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MATTHEW WOZNEAK PHYSICAL THERAPIST (OWNER OPERATOR PHYSICAL THERAPIST)
(814) 726-3574
Entity
Organization
Contact information
Practice address
218 LIBERTY ST, WARREN, PA 16365
(814) 726-3574
(814) 726-3583
Mailing address
BOX 424, 218 LIBERTY ST, WARREN, PA 16365
(814) 726-3574
(814) 726-3583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005465L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FA573459
ASSIGNMENT
PA
01
—
W0678838
BC
PA
Enumeration date
04/18/2007
Last updated
08/12/2008
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