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NPI Code Detail

MEDICARE: CATHERINE M ADDINGTON PT

MEDICARE: CATHERINE M ADDINGTON 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
1225100000XPhysical TherapistPT-014037-LPA

General Provider Information

NPI Number : 1639302367
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE M ADDINGTON PT
Provider Business Mailing Address
First Line : PO BOX 396
Second Line :
City : MARSHALLS CREEK
State : PA
Zip : 18335-0396
Country : US
Telephone Number : 570-807-6269
Fax Number : 570-426-9484
Provider Business Practice Location Address
First Line : 1 WASHINGTON ST
Second Line : ROSEWOOD COUNSELING
City : E STROUDSBURG
State : PA
Zip : 18301-2816
Country : US
Telephone Number : 570-807-6269
Fax Number : 570-426-9484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2009
Last Update Date : 06/13/2022

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