Organization
POCONO FUNCTIONAL REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAE MARIE JACQUELINE VENARUCCI DC (OWNER)
(570) 226-4119
Entity
Organization
Contact information
Practice address
74 WELWOOD AVE STE 101, HAWLEY, PA 18428-1577
(570) 226-4119
Mailing address
74 WELWOOD AVE STE 101, HAWLEY, PA 18428-1577
(570) 226-4119
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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