Organization
REIMAGINE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISLAND MONTOUR DO (CEO)
(570) 849-8896
Entity
Organization
Contact information
Practice address
575 N RIVER ST, WILKES BARRE TOWNSHIP, PA 18702-2634
(570) 208-3310
Mailing address
1005 SCOTT TOWN CTR # 1008, BLOOMSBURG, PA 17815-2356
(570) 849-8896
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/14/2023
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