| Jessica R Brock, PT | |
|
117 W Wellington Aly, Ligonier, PA 15658-6201 | |
| (724) 995-8815 | |
| (724) 441-4010 |
| Full Name | Jessica R Brock |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 117 W Wellington Aly, Ligonier, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538874128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT030606 (Pennsylvania) | Primary |
| Provider Name | Excela Health Physician Practices, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821225202 PECOS PAC ID: 6204737117 Enrollment ID: O20040322001393 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica R Brock, PT 117 W Wellington Aly, Ligonier, PA 15658-6201 Ph: (724) 995-8815 | Jessica R Brock, PT 117 W Wellington Aly, Ligonier, PA 15658-6201 Ph: (724) 995-8815 |
Orlando Daniel Harvard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 Fax: 724-441-4010 | |
Lauren Heiple, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 Railroad St, Ligonier, PA 15658 Phone: 724-238-6660 Fax: 724-238-3010 | |
Janell F Emery-smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 | |
Tammy Kedzierski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 Railroad Street, Ligonier, PA 15658 Phone: 724-238-6660 | |
Adam Dematteo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 | |
Rebecca L Puskar, Physical Therapist Medicare: Medicare Enrolled Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-850-6933 Fax: 724-522-4022 | |
Kimberly Metzger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 117 W Wellington Aly, Ligonier, PA 15658 Phone: 724-995-8815 |