Jonathan Boruta, DPT | |
100 Community Dr Ste 105, Tobyhanna, PA 18466-8986 | |
(570) 839-9975 | |
Not Available |
Full Name | Jonathan Boruta |
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Gender | Male |
Speciality | Physical Therapist |
Location | 100 Community Dr Ste 105, Tobyhanna, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174277719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT030148 (Pennsylvania) | Primary |
Provider Name | Lehigh Valley Hospital |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356769616 PECOS PAC ID: 2961310446 Enrollment ID: O20140520001991 |
Mailing Address | Practice Location Address |
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Jonathan Boruta, DPT 100 Community Dr Ste 105, Tobyhanna, PA 18466-8986 Ph: () - | Jonathan Boruta, DPT 100 Community Dr Ste 105, Tobyhanna, PA 18466-8986 Ph: (570) 839-9975 |
Jonathan Brown, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Community Dr, Suite 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-3395 | |
Patricia C Orwig, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Community Dr, 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-9274 | |
Ashlee Wood, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Community Dr Ste 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-3395 | |
Veronica Lynn Wilkinson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Community Dr, Suite 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-3395 | |
Joshua Brennan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Community Dr Ste 105, Tobyhanna, PA 18466 Phone: 570-839-9975 | |
Danielle Adams, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Community Dr, Suite 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-9274 |