| Laurel Highlands Neuro-rehabilitation | |
|
111a Roosevelt Boulevard Johnstown PA 15906 | |
| (814) 619-4223 | |
| (814) 539-0985 |
| Full Name | Laurel Highlands Neuro-rehabilitation |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 111a Roosevelt Boulevard, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Larry Rutledge (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8146294223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Highlands Neuro-rehabilitation 1086 Franklin St Johnstown PA 15905-4305 Ph: (814) 410-8330 | Laurel Highlands Neuro-rehabilitation 111a Roosevelt Boulevard Johnstown PA 15906 Ph: (814) 619-4223 |
| NPI Number | 1689727273 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689727273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | PS008498L (Pennsylvania) | Primary |
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