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NPI Code Detail

MEDICARE: BENCHMARK THERAPY, INC.

MEDICARE: BENCHMARK THERAPY, INC.
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
1261QP2000XPhysical Therapy Clinic/CenterSL007039PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11840553OTHERPAHIGHMARK BLUE CROSS/SHIEL

General Provider Information

NPI Number : 1457365439
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENCHMARK THERAPY, INC.
Provider Business Mailing Address
First Line : 403 6TH ST
Second Line : P.O. BOX 870
City : HUNTINGDON
State : PA
Zip : 16652-1518
Country : US
Telephone Number : 814-506-8212
Fax Number : 814-506-8213
Provider Business Practice Location Address
First Line : 138 VETERANS BLVD
Second Line : HOLLIDAYSBURG VETERANS HOME, SPEECH THERAPY DEPT.
City : DUNCANSVILLE
State : PA
Zip : 16635-8460
Country : US
Telephone Number : 814-506-8212
Fax Number : 814-506-8213
Authorized Official
Title or Position : PRESIDENT
Name : MR. BROCK D. EPPLEY
Credential : MA, CCC-SLP
Telephone Number : 814-525-1760
Provider Enumeration Date : 07/28/2006
Last Update Date : 02/11/2016

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Directions to “BENCHMARK THERAPY, INC. ” Practice Location

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