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NPI Code Detail

MEDICARE: PHOENIX REHABILITATION AND HEALTH SERVICES OF GEORGIA LLC

MEDICARE: PHOENIX REHABILITATION AND HEALTH SERVICES OF GEORGIA 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1134603103
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHOENIX REHABILITATION AND HEALTH SERVICES OF GEORGIA LLC
Provider Business Mailing Address
First Line : PO BOX 392573
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-9573
Country : US
Telephone Number : 724-343-4060
Fax Number : 724-343-4069
Provider Business Practice Location Address
First Line : 2000 WESTINGHOUSE DR STE 200
Second Line :
City : CRANBERRY TOWNSHIP
State : PA
Zip : 16066-5238
Country : US
Telephone Number : 724-584-5732
Fax Number :
Authorized Official
Title or Position : SR. CREDENTIALING
Name : BRENDA METAL-CONFER
Credential :
Telephone Number : 724-448-2733
Provider Enumeration Date : 09/17/2018
Last Update Date : 01/13/2021

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Directions to “PHOENIX REHABILITATION AND HEALTH SERVICES OF GEORGIA LLC ” Practice Location

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