NPI 1013455583

Christian Rea

Practitioner Prevention Professional Brodheadsville, PA

Practice location

Address: 120 Burrus Blvd STE 130, Brodheadsville, PA 18322-7812
Phone: (570) 992-4400

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence TE1003877 (PA)

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Registry record

NPI: 1013455583
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2017
Record last updated: 6 Feb 2017

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.