Organization
DRAYER PHYSICAL THERAPY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA GARDNER (MANAGER PAYER & PROVIDER ENROLLMENT)
(717) 839-2156
Entity
Organization
Contact information
Practice address
3120 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4309
(814) 949-9500
(814) 949-9550
Mailing address
5300 DERRY ST FL 2, HARRISBURG, PA 17111-3576
(717) 839-2110
(717) 565-1934
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
04/03/2006
Last updated
03/12/2019
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