Provider Demographics
NPI:1679862528
Name:COMMONWEALTH REHABILITATION, INC
Entity Type:Organization
Organization Name:COMMONWEALTH REHABILITATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:NUTBROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-696-5701
Mailing Address - Street 1:1007 OLD STATE ROUTE 119
Mailing Address - Street 2:
Mailing Address - City:HUNKER
Mailing Address - State:PA
Mailing Address - Zip Code:15639
Mailing Address - Country:US
Mailing Address - Phone:724-696-3261
Mailing Address - Fax:724-696-3248
Practice Address - Street 1:1007 OLD STATE ROUTE 119
Practice Address - Street 2:
Practice Address - City:HUNKER
Practice Address - State:PA
Practice Address - Zip Code:15639-1231
Practice Address - Country:US
Practice Address - Phone:724-696-3261
Practice Address - Fax:724-696-3248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty