Temple Faculty Practice Plan, INC

NPI #1154804839 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1154804839
Entity Type: Organization
Organization Name: Temple Faculty Practice Plan, INC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 10, 2018
Last Updated: Sep 10, 2018

Practice Location

Address: 3509 N BROAD ST
City: Philadelphia
State: Pennsylvania
ZIP Code: 19140-4105
Phone: (215) 707-2111

Authorized Official

Name: TONYA WOODARD
Title: DIRECTOR REVENUE CYCLE
Phone: (215) 707-3911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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