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Organization

ADVANCED SPEECH THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA D KING PT (OWNER/ PHYSICAL THERAPIST)
(724) 627-0685
Entity
Organization

Contact information

Practice address
350 BONAR AVE, WAYNESBURG, PA 15370-1608
(724) 627-2632
(724) 627-3712
Mailing address
265 ELM DR, WAYNESBURG, PA 15370-8275
(724) 627-0685
(724) 627-0849

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010494
PA

Other

Enumeration date
08/22/2011
Last updated
08/22/2011
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