| Organization Name: | NORTHEAST PHYSICAL THERAPY, PC |
| NPI Number: | 1952433070 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARON MILLER (PRESIDENT) |
| Mailing Address: | 216 N River St Suite 101 Wilkes Barre |
| State: | PA US |
| Postal Code: | 187022532 |
| Phone Number: | 5708259722 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |