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Organization
NORTHWEST PHYSICAL THERAPY, INC.
Active
Organization
NORTHWEST PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C. LOCKARD P.T., O.C.S. (OWNER)
(215) 233-5572
Entity
Organization
Contact information
Practice address
8200 FLOURTOWN AVE, SUITE 11, WYNDMOOR, PA 19038-7976
(215) 233-5572
(215) 233-5584
Mailing address
8200 FLOURTOWN AVE, SUITE 11, WYNDMOOR, PA 19038-7976
(215) 233-5572
(215) 233-5584
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002925L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011447140001
—
PA
Enumeration date
08/30/2005
Last updated
03/09/2016
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