George Kenneth Petruska in Pennsburg - Rehabilitation
George Kenneth Petruska - NPI 1255352050
George Kenneth Petruska is a Rehabilitation in Pennsburg, Pennsylvania. George Kenneth Petruska practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for George Kenneth Petruska is 1255352050. The last update date is 2008-05-06.
George Kenneth Petruska's current location address is 2791 Geryville Pike, Pennsburg, Pennsylvania. You can contact this provider via phone number 2156793419 and fax number 2156798866. The mailing address for George Kenneth Petruska is 2791 Geryville Pike, Pennsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Kenneth Petruska |
|---|---|
| Address | 2791 Geryville Pike, Pennsburg, Pennsylvania |
| Phone Number | 2156793419 |
| Fax Number | 2156798866 |
| Sole Proprietor | Y |
| Credentials | DC, DACRB |
NPI Number Detail
| NPI Number | 1255352050 |
|---|---|
| Provider Enumeration Date | 2006-07-21 |
| Last Updated Date | 2008-05-06 |
Provider Mailing Address Detail
| Address | 2791 Geryville Pike |
|---|---|
| City | Pennsburg |
| State | Pennsylvania (PA) |
| Post Code | 180732306 |
| Phone Number | 2156793419 |
| Fax Number | 2156798866 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation |
|---|---|
| Taxonomy | 111Nr0400X |
| Licence No | DC002109L |
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Definition: Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an |
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What is the unique 10-digit identifier code assigned to George Kenneth Petruska by the Centers for Medicare & Medicaid Services?
The George Kenneth Petruska has been issued the NPI (National Provider Identifier) 1255352050 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of George Kenneth Petruska?
The George Kenneth Petruska is physically situated at 2791 Geryville Pike, in the city of Pennsburg, state of PA, with the postal code 180732306.
What is the George Kenneth Petruska's area of specialization and corresponding taxonomy classification?
The George Kenneth Petruska's specialty field is Rehabilitation, and it falls under the taxonomy code 111Nr0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1255352050 to George Kenneth Petruska?
The George Kenneth Petruska received its 1255352050 assignment from the Centers for Medicare & Medicaid Services on 2006-07-21.
As of what date were the George Kenneth Petruska's details last updated?
The information pertaining to the George Kenneth Petruska, including its address, specialty, and other details, was most recently updated on 2008-05-06.
NPI Number: 1629021860
Address: 2 Lorenz Industrial Parkway, Ledyard, CT