| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1518414325 | PHOENIX REHABILITATION AND HEALTH SERVICES, INC. | 430 INNOVATION DR | BLAIRSVILLE | PA | 157178096 | |||
| 1336216332 | FORMAINI | DAMON | ANTHONY | 430 INNOVATION DRIVE | BLAIRSVILLE | PA | 157178096 |