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Organization
TO LIFE FITNESS, LLC
Active
Organization
TO LIFE FITNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CW NEISS MPT (OWNER, PHYSICAL THERAPIST)
(412) 414-1988
Entity
Organization
Contact information
Practice address
826 HAZELWOOD AVE, PITTSBURGH, PA 15217-2972
(412) 414-1988
Mailing address
826 HAZELWOOD AVE, PITTSBURGH, PA 15217-2972
(412) 414-1988
(412) 924-4079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015872
PA
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104375312-0001
—
PA
01
—
15137815
CAQH
PA
Enumeration date
01/12/2016
Last updated
08/21/2026
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