Provider Demographics
NPI:1063556454
Name:OIL CITY PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:OIL CITY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:SOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:814-677-7742
Mailing Address - Street 1:1054 GRANDVIEW RD
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-1227
Mailing Address - Country:US
Mailing Address - Phone:814-677-7742
Mailing Address - Fax:814-677-7830
Practice Address - Street 1:1054 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-1227
Practice Address - Country:US
Practice Address - Phone:814-677-7742
Practice Address - Fax:814-677-7830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-18
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002676L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA756379Medicare ID - Type Unspecified