Organization
ENERGY REHAB WELLNESS AND TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L MELLOTT (OFFICE MANAGER)
(814) 238-3485
Entity
Organization
Contact information
Practice address
177 CHAMPION DR # 100, STATE COLLEGE, PA 16803-3711
(814) 238-3485
(814) 692-2272
Mailing address
177 CHAMPION DR # 100, STATE COLLEGE, PA 16803-3711
(814) 238-3485
(814) 692-2272
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012059L
PA
Other
Enumeration date
07/05/2014
Last updated
09/29/2025
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