Provider Demographics
NPI:1639652738
Name:PCMA PHYSICAL MEDICINE & REHABILITATION LLC
Entity Type:Organization
Organization Name:PCMA PHYSICAL MEDICINE & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZLOTOLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:878-201-3312
Mailing Address - Street 1:2349 MILL ST
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-2219
Mailing Address - Country:US
Mailing Address - Phone:878-201-3312
Mailing Address - Fax:724-302-0447
Practice Address - Street 1:2349 MILL ST
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-2219
Practice Address - Country:US
Practice Address - Phone:878-201-3312
Practice Address - Fax:724-302-0447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty