MEDICARE: KATHLEEN JEAN PASCATORE-MOLLER PT

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
1	2251P0200X	Pediatric Physical Therapist	009499-1	NY

General Provider Information

NPI Number	:	1093941288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN JEAN PASCATORE-MOLLER PT

Provider Business Mailing Address
First Line	:	2303 ROBIN HILL RD
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-5739
Country	:	US
Telephone Number	:	814-757-9549
Fax Number	:

Provider Business Practice Location Address
First Line	:	2303 ROBIN HILL RD
Second Line	:
City	:	RUSSELL
State	:	PA
Zip	:	16345-5739
Country	:	US
Telephone Number	:	814-757-9549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2009
Last Update Date	:	08/26/2015

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