Provider Demographics
NPI:1053564336
Name:GREENSBURG THERAPEUTIC ASSOCIATES
Entity type:Organization
Organization Name:GREENSBURG THERAPEUTIC ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:VECCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:412-298-8921
Mailing Address - Street 1:1275 S MAIN ST
Mailing Address - Street 2:SUITE 2001
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5385
Mailing Address - Country:US
Mailing Address - Phone:412-298-8921
Mailing Address - Fax:
Practice Address - Street 1:1275 S MAIN ST
Practice Address - Street 2:SUITE 2001
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5385
Practice Address - Country:US
Practice Address - Phone:412-298-8921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREENSBURG THERAPEUTIC ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014290L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty