Provider Demographics
NPI:1578342853
Name:ORLOSKI PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ORLOSKI PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:570-417-0305
Mailing Address - Street 1:359 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-1756
Mailing Address - Country:US
Mailing Address - Phone:570-417-0305
Mailing Address - Fax:
Practice Address - Street 1:359 LAKE RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-1756
Practice Address - Country:US
Practice Address - Phone:570-417-0305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty