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Organization
LA FORTALEZA PHYSICAL THERAPY INC
Active
Organization
LA FORTALEZA PHYSICAL THERAPY INC
Active
Parent organization
LA FORTALEZA PHYSICAL THERAPY CENTER INC
Other names
La Fortaleza Occupational Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA FORTALEZA PHYSICAL THERAPY CENTER INC
Authorized official
LUIS HINCAPIE MPT (DIRECTOR)
(215) 778-3988
Entity
Organization
Contact information
Practice address
3251 CEDAR ST, PHILADELPHIA, PA 19134-4514
(215) 427-2242
(215) 427-2433
Mailing address
133 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2717
(215) 455-5370
(215) 427-2433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-009127L
PA
225X00000X
Occupational Therapist
PT-009127L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017400900003
—
PA
Enumeration date
01/05/2011
Last updated
07/16/2019
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