Provider Demographics
NPI:1699239657
Name:CLARION REHABILITATION AND AQUATIC THERAPY LLC
Entity type:Organization
Organization Name:CLARION REHABILITATION AND AQUATIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BABINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-226-1355
Mailing Address - Street 1:117 CRESTMONT DR
Mailing Address - Street 2:
Mailing Address - City:SHIPPENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16254-8607
Mailing Address - Country:US
Mailing Address - Phone:814-226-1356
Mailing Address - Fax:814-226-1240
Practice Address - Street 1:499 MAYFIELD RD
Practice Address - Street 2:OFFICE 134
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214
Practice Address - Country:US
Practice Address - Phone:814-226-1356
Practice Address - Fax:814-226-1240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy