| Organization Name: | ELK REGIONAL PROFESSIONAL GROUP, INC |
| NPI Number: | 1801883020 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RITA V OLSZEWSKI (VICE PRESIDENT, ERPG) |
| Mailing Address: | 763 Johnsonburg Rd St Marys |
| State: | PA US |
| Postal Code: | 158573417 |
| Phone Number: | 8147888580 |
| Fax Number: | 8147888042 |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251E1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Electrophysiology, Clinical |
| Taxonomy Definition: | |