Organization
CONCRETE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZA ABUAN DIXON PT (PRESIDENT)
(917) 690-6947
Entity
Organization
Contact information
Practice address
RR 4 BOX 4571, SAYLORSBURG, PA 18353-9372
(917) 690-6947
(570) 629-5549
Mailing address
RR 4 BOX 4571, SAYLORSBURG, PA 18353-9372
(917) 690-6947
(570) 629-5549
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
017905-1
NY
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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