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NPI Code Detail

MEDICARE: PCMA PHYSICAL MEDICINE & REHABILITATION LLC

MEDICARE: PCMA PHYSICAL MEDICINE & REHABILITATION LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1639652738
Entity Type Code : Organization
Provider Name (Legal Business Name) : PCMA PHYSICAL MEDICINE & REHABILITATION LLC
Provider Business Mailing Address
First Line : 2349 MILL ST
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-2219
Country : US
Telephone Number : 878-201-3312
Fax Number : 724-302-0447
Provider Business Practice Location Address
First Line : 2349 MILL ST
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-2219
Country : US
Telephone Number : 878-201-3312
Fax Number : 724-302-0447
Authorized Official
Title or Position : MEMBER
Name : PAUL ZLOTOLOW
Credential :
Telephone Number : 878-201-3312
Provider Enumeration Date : 09/13/2018
Last Update Date : 09/13/2018

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Directions to “PCMA PHYSICAL MEDICINE & REHABILITATION LLC ” Practice Location

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