Samantha Lynn Pavolko
Samantha Lynn Pavolko is a Physical Therapist in Private Practice in Moosic, Pennsylvania. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 3
- Licensed in
- PA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
3356 Birney PlzMoosic, PA 18507-1560
Phone: (570) 347-7790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT032106 (PA) |
|---|---|
| Physical Therapy Clinic/Center | Taxonomy 261QP2000X · Licence PT032106 (PA) |
Record details
| NPI number | 1689438087 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 7, 2024 |
| Last updated in NPPES | February 7, 2024 |
| Certification date | February 7, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Moosic
-
Integrated Complementary Health Specialists Inc
73 Montage Mountain Rd, Moosic, PA 18507 · (570) 703-0755