NPI 1053796078

Contract Physical Therapy

Organisation Early Intervention Provider Agency Warren, PA

Practice location

Address: 109 Russell St, Warren, PA 16365-2970
Phone: (814) 723-8828

Authorised official

Name: Jennifer Hoffman
Title: Physical Therapist
Phone: (814) 723-8828

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence PT013046L (PA)

Other Early Intervention Provider Agency providers in Pennsylvania →

Registry record

NPI: 1053796078
Entity type: Organization
NPI issued: 21 Jul 2015
Record last updated: 21 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.