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Organization
INTERACTIVE PHYSICAL THERAPY
Active
Organization
INTERACTIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA GONZALEZ (ADMINISTRATOR)
(215) 941-6289
Entity
Organization
Contact information
Practice address
2417 WELSH RD, SUITE 201, PHILADELPHIA, PA 19114-2213
(215) 941-6289
Mailing address
2417 WELSH RD, SUITE 201, PHILADELPHIA, PA 19114-2213
(215) 941-6289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020411
PA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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