MR. Bernard Joseph Povanda, PT

NPI #1093739559 in Old Forge, Pennsylvania

Provider Information

NPI Number: 1093739559
Entity Type: Individual
Name: MR. Bernard Joseph Povanda, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 501 S MAIN ST
City: Old Forge
State: Pennsylvania
ZIP Code: 18518-1541
Phone: (570) 457-4099

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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