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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