Organization
EASTER SEALS CENTRAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BATEMAN (CEO PRESIDENT)
(814) 944-5014
Entity
Organization
Contact information
Practice address
501 VALLEY VIEW BLVD, ALTOONA, PA 16602-6410
(814) 944-5014
Mailing address
501 VALLEY VIEW BLVD, ALTOONA, PA 16602-6410
(814) 944-5014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023490012
—
PA
01
—
765438
HIGHMARK BC BS PT
PA
Enumeration date
03/08/2007
Last updated
08/22/2020
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