Pennsport Physical Therapy INC

NPI #1023018793 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1023018793
Entity Type: Organization
Organization Name: Pennsport Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 26, 2005
Last Updated: Nov 19, 2012

Practice Location

Address: 2101 S COLUMBUS BLVD
City: Philadelphia
State: Pennsylvania
ZIP Code: 19148-2805
Phone: (215) 467-4431

Authorized Official

Name: MICHAEL A DELUCA, PT
Title: PRESIDENT
Phone: (215) 467-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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