| Organization Name: | PATTON REHABILITATION ASSOCIATES INC |
| NPI Number: | 1093062689 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN G KRUG (PRESIDENT/OWNER) |
| Mailing Address: | 503 Railroad Ave Suite 3 Patton |
| State: | PA US |
| Postal Code: | 166681342 |
| Phone Number: | 8146742218 |
| Fax Number: | 8146743716 |
| NPI Enumeration Date: | 08/14/2012 |
| NPI Last Update Date: | 08/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT003879L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |