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Organization

PAUL W GAFFNEY

Active
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Organization

PAUL W GAFFNEY

Active
Other names
King of Prussia Physical Therapy and Sports Injury Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL W GAFFNEY P.T. (OWNER)
(610) 337-7155
Entity
Organization

Contact information

Practice address
491 ALLENDALE RD, SUITE 112, KING OF PRUSSIA, PA 19406-1426
(610) 337-7155
(610) 337-7111
Mailing address
491 ALLENDALE RD, SUITE 112, KING OF PRUSSIA, PA 19406-1426
(610) 337-7155
(610) 337-7111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001755441
HIGHMARK BLUE SHIELD
PA
01
1005470
KEYSTONE MERCY
PA
01
2421829000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
01/04/2007
Last updated
06/26/2008
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