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Organization
LA FORTALEZA PHYSICAL THERAPY CENTER INC.
Active
Organization
LA FORTALEZA PHYSICAL THERAPY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS G HINCAPIE MPT (CLINICAL DIRECTOR)
(215) 455-5370
Entity
Organization
Contact information
Practice address
133 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2717
(215) 455-5370
(215) 455-5374
Mailing address
133 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2717
(215) 455-5370
(215) 455-5374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-009127L
PA
225X00000X
Occupational Therapist
PT-009127L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017400900003
—
PA
Enumeration date
06/05/2006
Last updated
06/09/2016
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