Pediatric Therapy, LLC

NPI #1235552357 in Portage, Pennsylvania

Provider Information

NPI Number: 1235552357
Entity Type: Organization
Organization Name: Pediatric Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 24, 2014
Last Updated: Apr 17, 2016

Practice Location

Address: 514 ORCHARD ST
City: Portage
State: Pennsylvania
ZIP Code: 15946-1626
Phone: (814) 421-2754

Authorized Official

Name: LAURIE ANN SKUTCH, PT
Title: SOLE OWNER
Phone: (814) 421-2754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Social Worker	104100000X
Early Intervention Provider Agency	252Y00000X
Physical Therapist	225100000X	Primary

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