Organization
BRADDOCK PHYSICAL THERAPY & REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD ROY BRADDOCK PT (PRESIDENT)
(724) 846-5887
Entity
Organization
Contact information
Practice address
1008 7TH AVE STE 205, BEAVER FALLS, PA 15010
(724) 846-5887
(724) 436-7200
Mailing address
1008 7TH AVE STE 205, BEAVER FALLS, PA 15010-4558
(724) 846-5887
(724) 436-7200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001784776
HIGHMARK GROUP
PA
Enumeration date
04/03/2007
Last updated
10/10/2019
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