Niagara Therapy L.L.C.
Clinic/Center, Rehabilitation in Erie, PA. Organization (NPI-2).
NPI number1760634166
StatusActive
Last updated in NPPESApr 2, 2019
Details
- NPI
- 1760634166
- Entity type
- Organization (NPI-2)
- Legal business name
- Niagara Therapy L.L.C.
- Organization subpart
- No
- Enumeration date
- Oct 16, 2008
- Last updated
- Apr 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | oc006865l | PA | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
2631 W 8th StErie, PA 16505-4034
Phone 814-464-0627 · Fax 814-464-0629
Mailing address
2631 W 8th StErie, PA 16505-4034
Phone 814-464-0627 · Fax 814-464-0629
Authorized official
Michelle Lynn Mioduszewski
Manager/Member
8144640627
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