Provider Demographics
NPI:1750835732
Name:SPECIALIZED THERAPY AND RELATED SERVICES
Entity Type:Organization
Organization Name:SPECIALIZED THERAPY AND RELATED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIE
Authorized Official - Middle Name:K
Authorized Official - Last Name:PEKAR-ROHRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-966-8784
Mailing Address - Street 1:207 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAELS
Mailing Address - State:PA
Mailing Address - Zip Code:15320-1140
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:207 PARK AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAELS
Practice Address - State:PA
Practice Address - Zip Code:15320-1140
Practice Address - Country:US
Practice Address - Phone:724-966-8784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency