MEDICARE: WESTERN PENNSYLVANIA REHAB ASSOCIATES,LTD

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	225400000X	Rehabilitation Practitioner	MD037589E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376668608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN PENNSYLVANIA REHAB ASSOCIATES,LTD

Provider Business Mailing Address
First Line	:	159 WATERDAM RD
Second Line	:	SUITE 240
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2576
Country	:	US
Telephone Number	:	724-941-8702
Fax Number	:	724-941-9089

Provider Business Practice Location Address
First Line	:	159 WATERDAM RD
Second Line	:	SUITE 240
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2576
Country	:	US
Telephone Number	:	724-941-8702
Fax Number	:	724-941-9089

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CYNTHIA L DIMAURO
Credential	:	MD
Telephone Number	:	724-941-8702

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	02/15/2012

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