MEDICARE: DANIEL REHAK 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	225100000X	Physical Therapist	PT008643E	PA

General Provider Information

NPI Number	:	1447214945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL REHAK PT

Provider Business Mailing Address
First Line	:	4150 WASHINGTON RD STE 101
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2534
Country	:	US
Telephone Number	:	724-941-2240
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 WASHINGTON RD STE 101
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2534
Country	:	US
Telephone Number	:	724-941-2240
Fax Number	:

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	02/26/2023

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