Provider Demographics
NPI:1073832861
Name:CAMCO PHYSICAL AND OCCUPATIONAL THERAPY, LLC
Entity Type:Organization
Organization Name:CAMCO PHYSICAL AND OCCUPATIONAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:REISER
Authorized Official - Last Name:WALKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-266-8833
Mailing Address - Street 1:1454 SCALP AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3321
Mailing Address - Country:US
Mailing Address - Phone:814-266-8833
Mailing Address - Fax:814-269-3385
Practice Address - Street 1:1454 SCALP AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3321
Practice Address - Country:US
Practice Address - Phone:814-266-8833
Practice Address - Fax:814-269-3385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty