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Organization
MAIN LINE PHYSICAL THERAPY LLC
Active
Organization
MAIN LINE PHYSICAL THERAPY LLC
Active
Parent organization
MAIN LINE PHYSICAL THERAPY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAIN LINE PHYSICAL THERAPY LLC
Authorized official
THEODORE R ELLIS PT (MEMBER)
(610) 971-6969
Entity
Organization
Contact information
Practice address
150 STRAFFORD AVE, SUITE 230, WAYNE, PA 19087-3114
(610) 971-6969
(610) 971-9444
Mailing address
150 STRAFFORD AVE, SUITE 230, WAYNE, PA 19087-3114
(610) 971-6969
(610) 971-9444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PA008710-E
PA
Other
Enumeration date
05/22/2007
Last updated
06/30/2010
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