| Jonathan Boruta, DPT | |
|
100 Community Dr Ste 105, Tobyhanna, PA 18466-8986 | |
| (570) 839-9975 | |
| Not Available |
| Full Name | Jonathan Boruta |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 100 Community Dr Ste 105, Tobyhanna, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174277719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT030148 (Pennsylvania) | Primary |
| Provider Name | Lehigh Valley Hospital |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356769616 PECOS PAC ID: 2961310446 Enrollment ID: O20140520001991 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Boruta, DPT 100 Community Dr Ste 105, Tobyhanna, PA 18466-8986 Ph: () - | Jonathan Boruta, DPT 100 Community Dr Ste 105, Tobyhanna, PA 18466-8986 Ph: (570) 839-9975 |
Jonathan Brown, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Community Dr, Suite 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-3395 | |
Patricia C Orwig, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Community Dr, 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-9274 | |
Ashlee Wood, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Community Dr Ste 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-3395 | |
Veronica Lynn Wilkinson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Community Dr, Suite 105, Tobyhanna, PA 18466 Phone: 570-839-9975 Fax: 570-839-3395 | |
Joshua Brennan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Community Dr Ste 105, Tobyhanna, PA 18466 Phone: 570-839-9975 |