Specialty Physical Therapy LLC

NPI #1013548379 in Wyoming, Pennsylvania

Provider Information

NPI Number: 1013548379
Entity Type: Organization
Organization Name: Specialty Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 27, 2020
Last Updated: Jan 27, 2020

Practice Location

Address: 1062 WYOMING AVE
City: Wyoming
State: Pennsylvania
ZIP Code: 18644-1331
Phone: (570) 991-1530

Authorized Official

Name: KIMBERLY W CARPENTER, DPT
Title: OWNER
Phone: (570) 991-1530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X
Physical Therapy Assistant	225200000X
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Massage Therapist	225700000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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