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Organization
PENNSPORT PHYSICAL THERAPY INC
Active
Organization
PENNSPORT PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL A DELUCA PT (PRESIDENT)
(215) 467-4431
Entity
Organization
Contact information
Practice address
2101 S COLUMBUS BLVD, PHILADELPHIA, PA 19148-2805
(215) 467-4431
(215) 467-8879
Mailing address
2101 S COLUMBUS BLVD, PHILADELPHIA, PA 19148-2805
(215) 467-4431
(215) 467-8879
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/26/2005
Last updated
11/19/2012
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