Main Line Physical Therapy LLC

NPI #1588873558 in Wayne, Pennsylvania

Provider Information

NPI Number: 1588873558
Entity Type: Organization
Organization Name: Main Line Physical Therapy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MAIN LINE PHYSICAL THERAPY LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 22, 2007
Last Updated: Jun 30, 2010

Practice Location

Address: 150 STRAFFORD AVE
Address 2: SUITE 230
City: Wayne
State: Pennsylvania
ZIP Code: 19087-3114
Phone: (610) 971-6969

Authorized Official

Name: THEODORE R ELLIS, PT
Title: MEMBER
Phone: (610) 971-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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