Provider Demographics
NPI:1841451416
Name:FIRST STEP REHABILITATION SERVICES, LLC
Entity type:Organization
Organization Name:FIRST STEP REHABILITATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:BERGER
Authorized Official - Last Name:ELENCHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-294-2183
Mailing Address - Street 1:1095 DETURKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PINE GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17963-7947
Mailing Address - Country:US
Mailing Address - Phone:570-294-2183
Mailing Address - Fax:
Practice Address - Street 1:1095 DETURKSVILLE RD
Practice Address - Street 2:
Practice Address - City:PINE GROVE
Practice Address - State:PA
Practice Address - Zip Code:17963-7947
Practice Address - Country:US
Practice Address - Phone:570-294-2183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005887L252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency