Healthcare Provider Details

I. General information

NPI: 1659367753
Provider Name (Legal Business Name): ROBERT P BEDILLION PT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/23/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 FREEDOM WAY R & B REHAB - NEWHAVEN COURT
GREENSBURG PA
15601-9245
US

IV. Provider business mailing address

1062 SAYBROOK DR R & B REHAB
GREENSBURG PA
15601-1155
US

V. Phone/Fax

Practice location:
  • Phone: 724-853-8466
  • Fax: 724-836-1199
Mailing address:
  • Phone: 724-853-8466
  • Fax: 724-836-1199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT007670L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: