Organization
CENTRAL MOUNTAIN PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI S DINGES PT (OWNER/PT)
(570) 748-2678
Entity
Organization
Contact information
Practice address
685 ISLAND RD, LOCK HAVEN, PA 17745-8844
(570) 748-2678
(570) 748-4015
Mailing address
685 ISLAND RD, LOCK HAVEN, PA 17745-8844
(570) 748-2678
(570) 748-4015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT007553L
PA
174400000X
Specialist
Primary
PT007705L
PA
174400000X
Specialist
PT009179L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001888394
—
PA
01
—
140512
HEALTH AMERICA-GROUP
PA
01
—
347875600
US DEPT OF LABOR
PA
01
—
63410 9969
GEISINGER-GROUP
PA
01
—
928954
BC/BS-GROUP
PA
Enumeration date
08/10/2005
Last updated
07/13/2010
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