Organization · NPI-2

Central Pennsylvania Rehabilitation Medicine, INC

Physical Medicine & Rehabilitation · Williamsport, PA

NPI number1548710882
StatusActive
Last updated in NPPESMay 15, 2018

Details

NPI
1548710882
Entity type
Organization (NPI-2)
Legal business name
Central Pennsylvania Rehabilitation Medicine, INC
Organization subpart
No
Enumeration date
Oct 11, 2016
Last updated
May 15, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes

Practice location

460 River Ave Ste 1
Williamsport, PA 17701

Phone 570-601-4722 · Fax 570-651-9485

Mailing address

Po Box 3367
Williamsport, PA 17701-0367

Phone 570-601-4722 · Fax 570-651-9485

Authorized official

Edwin Roman
Owner
5705602501

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