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Organization
REVIVE HEALTH PT LLC
Active
Organization
REVIVE HEALTH PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRINBERG GRINBERG PT (OWNER/PRESIDENT)
(215) 866-6333
Entity
Organization
Contact information
Practice address
9892 BUSTLETON AVE STE 206, PHILADELPHIA, PA 19115-2139
(215) 866-6333
Mailing address
3516 SUNSET WAY, HUNTINGDON VALLEY, PA 19006-7749
(215) 866-6333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/10/2024
Last updated
08/10/2024
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