J. Cornack Therapy Group LLC
NPI #1508132234 in Lititz, Pennsylvania
Provider Information
- NPI Number
- 1508132234
- Entity Type
- Organization
- Organization Name
- J. Cornack Therapy Group LLC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 604 COURNTHOUSE CIR
- City
- Lititz
- State
- Pennsylvania
- ZIP Code
- 17543
- Phone
- (717) 381-0709
Authorized Official
- Name
- MR. TOM CORNACK
- Title
- ADMIN
- Phone
- (717) 381-0709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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