Organization
COSM REHAB
Active
Parent organization
CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR ORTHOPEDICS AND SPORTS MEDICINE
Authorized official
DENNIS A SCHULTZ PT (DIRECTOR OF PHYSICAL THERAPY)
(724) 465-2676
Entity
Organization
Contact information
Practice address
1265 WAYNE AVE, 119 PROFESSIONAL CENTER, INDIANA, PA 15701-3501
(724) 465-2676
(724) 349-1830
Mailing address
1265 WAYNE AVE, 119 PROFESSIONAL CENTER SUITE 307, INDIANA, PA 15701-3501
(724) 465-2676
(724) 349-1830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007180L
PA
225100000X
Physical Therapist
PT015947
PA
225100000X
Physical Therapist
PT016557
PA
225100000X
Physical Therapist
PT017316
PA
225XH1200X
Hand Occupational Therapist
OC003583L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI1160
TRAVELERS MEDICARE
PA
Enumeration date
04/03/2006
Last updated
02/02/2009
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