Organization
CENTRAL PENN PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY THERESA STOUT P.T. (CEO)
(570) 644-2353
Entity
Organization
Contact information
Practice address
4 N 6TH ST, SHAMOKIN, PA 17872-5210
(570) 644-2353
(570) 644-2392
Mailing address
4 N 6TH ST, SHAMOKIN, PA 17872-5210
(570) 644-2353
(570) 644-2392
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001749E
PA
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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