MEDICARE: RACHEL ANN SCANLON DPT

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	PT026678	PA

General Provider Information

NPI Number	:	1487156758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL ANN SCANLON DPT

Provider Business Mailing Address
First Line	:	50 MILL ST
Second Line	:
City	:	PITTSTON
State	:	PA
Zip	:	18640-1925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 N MAIN ST
Second Line	:
City	:	PITTSTON
State	:	PA
Zip	:	18640-1949
Country	:	US
Telephone Number	:	570-208-2787
Fax Number	:

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

Provider Enumeration Date	:	03/02/2018
Last Update Date	:	10/26/2020

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Directions to “ RACHEL ANN SCANLON DPT” Practice Location

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