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Organization
RIVERSIDE PHYSICAL THERAPY, LTD.
Active
Organization
RIVERSIDE PHYSICAL THERAPY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TOMASETTI M.P.T. (PRESIDENT)
(215) 781-6973
Entity
Organization
Contact information
Practice address
231 MILL ST, BRISTOL, PA 19007-4808
(215) 781-6973
(215) 781-6974
Mailing address
231 MILL ST, P.O. BOX 569, BRISTOL, PA 19007-4808
(215) 781-6973
(215) 781-6974
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001339049
BLUE SHIELD ID
PA
01
—
2037936000
IBC HMO ID
PA
Enumeration date
01/29/2007
Last updated
12/16/2008
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