| Pocono Functional Rehabilitation, Pllc | |
|
74 Welwood Ave Ste 101, Hawley, PA 18428-1577 | |
| (570) 226-4119 | |
| Not Available |
| Full Name | Pocono Functional Rehabilitation, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 74 Welwood Ave Ste 101, Hawley, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811521115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Rae Marie J Venarucci |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861579096 PECOS PAC ID: 4789720939 Enrollment ID: I20091001000561 |
| Provider Name | Stephen Page |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437604410 PECOS PAC ID: 6406143940 Enrollment ID: I20160927000737 |
| Provider Name | Rachel Ann Vantine |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316534316 PECOS PAC ID: 3274948955 Enrollment ID: I20210210000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Pocono Functional Rehabilitation, Pllc 74 Welwood Ave Ste 101, Hawley, PA 18428-1577 Ph: (570) 226-4119 | Pocono Functional Rehabilitation, Pllc 74 Welwood Ave Ste 101, Hawley, PA 18428-1577 Ph: (570) 226-4119 |
Rachel Ann Vantine, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 74 Welwood Ave Ste 101, Hawley, PA 18428 Phone: 570-493-1324 | |
Donald O Broughton Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 844 Church St, Hawley, PA 18428 Phone: 570-226-4050 Fax: 570-226-8217 | |
Dr. Leland T Deblon, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: Hc 8 Box 8575, Hawley, PA 18428 Phone: 570-775-6656 | |
Dr. Donald O. Broughton, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 846 Church St, Hawley, PA 18428 Phone: 570-226-4050 Fax: 570-226-8217 | |
Dr. Rae Marie Jacqueline Venarucci, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 74 Welwood Ave Ste 101, Hawley, PA 18428 Phone: 570-226-4119 |