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Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
Crozer Keystone Physical Medicine and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
485 BALTIMORE PIKE, SUITE 202, GLEN MILLS, PA 19342-1161
(610) 588-9222
(610) 588-9033
Mailing address
485 BALTIMORE PIKE, SUITE 202, GLEN MILLS, PA 19342-1161
(610) 588-9222
(610) 588-9033
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/19/2016
Last updated
01/15/2021
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