Basic Information
| Provider Information | |||||||||
| NPI: | 1972955136 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SVEC | ||||||||
| FirstName: | THOMAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 96 ALLEGHENY RIVER BLVD | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | VERONA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151471046 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 96 ALLEGHENY RIVER BLVD | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | VERONA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 151471046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4128287965 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2016 | ||||||||
| LastUpdateDate: | 05/24/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT025249 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.