Provider Demographics
NPI:1801892203
Name:CAMCO PHYSICAL & OCCUPATIONAL THERAPY LLC
Entity type:Organization
Organization Name:CAMCO PHYSICAL & OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-266-2400
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15907-0338
Mailing Address - Country:US
Mailing Address - Phone:814-535-3656
Mailing Address - Fax:814-536-2096
Practice Address - Street 1:917 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1213
Practice Address - Country:US
Practice Address - Phone:814-443-2933
Practice Address - Fax:814-443-4695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CK3431Medicare ID - Type Unspecified
PA056575Medicare ID - Type Unspecified