| Leg Up Farm, Inc. | |
|
4880 N Sherman Street Ext Mount Wolf PA 17347-9637 | |
| (717) 266-9294 | |
| (717) 384-8071 |
| Full Name | Leg Up Farm, Inc. |
|---|---|
| Speciality | Occupational Therapist |
| Location | 4880 N Sherman Street Ext, Mount Wolf, Pennsylvania |
| Authorized Official Name and Position | Louis Castriota (PRESIDENT & CEO) |
| Authorized Official Contact | 7172669294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leg Up Farm, Inc. 4880 N Sherman Street Ext Mount Wolf PA 17347-9637 Ph: (717) 266-9294 | Leg Up Farm, Inc. 4880 N Sherman Street Ext Mount Wolf PA 17347-9637 Ph: (717) 266-9294 |
| NPI Number | 1063748762 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 05/12/2010 |
| Medicare PECOS PAC ID | 4789727546 |
|---|---|
| Medicare Enrollment ID | O20100203000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063748762 | NPI | - | NPPES |
| 1023981110001 | Medicaid | PA |
| Provider Name | Melissa E Maley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265519979 PECOS PAC ID: 7416956735 Enrollment ID: I20070413000319 |
| Provider Name | Jacqueline A Zoeller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225125958 PECOS PAC ID: 3173605532 Enrollment ID: I20080124000541 |
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