Healthcare Provider Details
I. General information
NPI: 1497975031
Provider Name (Legal Business Name): JUST THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
443 RED FOX RD
STRAFFORD PA
19087-5404
US
IV. Provider business mailing address
443 RED FOX RD
STRAFFORD PA
19087-5404
US
V. Phone/Fax
- Phone: 610-525-2625
- Fax: 610-964-9337
- Phone: 610-525-2625
- Fax: 610-964-9337
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | OC000278L |
| License Number State | PA |
VIII. Authorized Official
Name:
CAROL
JUST
Title or Position: PRESIDENT
Credential:
Phone: 610-525-2625