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NPI Code Detail

MEDICARE: MOBILE THERAPY SERVICES LLC

MEDICARE: MOBILE THERAPY SERVICES 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 : 1245683648
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOBILE THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 27 MAIN ST
Second Line :
City : DALLAS
State : PA
Zip : 18612-1640
Country : US
Telephone Number : 570-282-9382
Fax Number : 570-227-1891
Provider Business Practice Location Address
First Line : 27 MAIN ST
Second Line :
City : DALLAS
State : PA
Zip : 18612-1640
Country : US
Telephone Number : 570-282-9382
Fax Number : 570-227-1891
Authorized Official
Title or Position : OWNER
Name : CHARLES ANTHONY STEVENS
Credential : DPT
Telephone Number : 570-282-9382
Provider Enumeration Date : 07/20/2016
Last Update Date : 12/16/2025

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Directions to “MOBILE THERAPY SERVICES LLC ” Practice Location

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