Img Pt

NPI #1427290394 in Fleetwood, Pennsylvania

Provider Information

NPI Number: 1427290394
Entity Type: Organization
Organization Name: Img Pt
Subpart: Yes (part of a larger organization)
Parent Organization: INTEGRATED MEDICAL GROUP, P.C.
Primary Specialty: Physical Therapist
Enumeration Date: Mar 24, 2009
Last Updated: Mar 24, 2009

Practice Location

Address: 805 N RICHMOND ST
Address 2: SUITE 103
City: Fleetwood
State: Pennsylvania
ZIP Code: 19522-1058
Phone: (610) 944-0464

Authorized Official

Name: MR. JOSEPH C. PILLUS
Title: CHIEF EXECUTIVE OFFICER
Phone: (570) 622-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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