NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER LLC NPI 1235630500

NPI Information

NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC is a neuromusculoskeletal medicine sports medicine in Philadelphia, PA. The provider is definition to come. NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC NPI is 1235630500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7618 OGONTZ AVE FL 1
PHILADELPHIA, PA
ZIP 19150-817
Phone: (215) 224-1494
Fax: (215) 224-1495

The provider's authorized official is Edward J Alexander .
The authorized official title is Ceo And Administrative Director and has the following contact phone number (215) 294-0612.

The CLIA number assigned to this NPI record is 39D1084773 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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