| Innovative Pediatric Therapy Services Llc | |
|
713 Bridge St Ste 23 Selinsgrove PA 17870-1250 | |
| (570) 266-5181 | |
| Not Available |
| Full Name | Innovative Pediatric Therapy Services Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 713 Bridge St Ste 23, Selinsgrove, Pennsylvania |
| Authorized Official Name and Position | Erin Mitrenko (OWNER) |
| Authorized Official Contact | 5702665181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Pediatric Therapy Services Llc 350 S Market St Selinsgrove PA 17870-1816 Ph: (508) 269-2747 | Innovative Pediatric Therapy Services Llc 713 Bridge St Ste 23 Selinsgrove PA 17870-1250 Ph: (570) 266-5181 |
| NPI Number | 1629680319 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629680319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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