Organization
ALYCAM INC
Active
Other names
Pro Rehabilitation Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON R CASSETORI (BUSINESS MGR TREAS)
(570) 823-7761
Entity
Organization
Contact information
Practice address
87 OXFORD ST, HANOVER, PA 18706
(570) 825-3909
(570) 825-8939
Mailing address
1086 ROUTE 315, PLAINS, PA 18702
(570) 823-7761
(570) 822-8033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1505622
HIGHMARK BLUE CROSS BLUE
PA
01
—
325504
HEALTH AMERICA HEALTH INS
PA
01
—
50025209
CAPITAL BLUE CROSS BLUE
PA
01
—
5234560
AETNA US HEALTHCARE
PA
01
—
61915
GEISINGER
PA
Enumeration date
10/27/2006
Last updated
09/11/2025
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