| NPI | 1427694843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATCHETT CEO 570-323-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist Low Vision Rehabilitation |
| Additional Taxonomies | 225XL0004X Occupational Therapist Low Vision |
| 235Z00000X Speech-Language Pathologist | |
| 251B00000X Case Management | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QA3000X Clinic/Center Augmentative Communication | |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 225CA2500X Rehabilitation Counselor Assistive Technology Supplier | |
| 133VN1004X Dietitian, Registered Nutrition, Pediatric | |
| 152W00000X Optometrist | |
| 152WP0200X Optometrist Pediatrics | |
| 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2021-07-12 |