River Of Life

Specialty details in registry · Port Matilda, PA

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At a glance

775 Fowler Hollow Ln, Port Matilda, PA 16870-9101

NPPES record updated Apr 8, 2026. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.

Practice location

775 Fowler Hollow Ln
Port Matilda, PA 16870-9101
Professional details: NPI, taxonomy & registry record
NPI1194667188
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251S00000X
Enumeration date
Apr 8, 2026
Record updated
Apr 8, 2026
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

775 Fowler Hollow Ln
Port Matilda, PA 16870-9101
Phone
(814) 762-4323
Mailing address
775 FOWLER HOLLOW LN

PORT MATILDA, PA 168709101
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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