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Organization
LA FORTALEZA PHYSICAL THERAPY CENTER INC
Active
Organization
LA FORTALEZA PHYSICAL THERAPY CENTER INC
Active
Parent organization
LA FORTALEZA PHYSICAL THERAPY CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA FORTALEZA PHYSICAL THERAPY CENTER INC
Authorized official
LUIS HINCAPIE PT (DIRECTOR)
(215) 455-5370
Entity
Organization
Contact information
Practice address
7500 CENTRAL AVE, PHYSICIAN BUILDING, STE 102, PHILADELPHIA, PA 19111-2430
(267) 388-6077
(215) 638-5007
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
Enumeration date
01/10/2017
Last updated
01/10/2017
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