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Organization
WOODLYN PHYSICAL THERAPY
Active
Organization
WOODLYN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCKERNAN (CEO)
(610) 583-1133
Entity
Organization
Contact information
Practice address
412 MACDADE BLVD, MILMONT PARK, PA 19033-3300
(610) 583-1133
(610) 583-0855
Mailing address
412 MACDADE BLVD, MILMONT PARK, PA 19033-3300
(610) 583-1133
(610) 583-0855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J10000806
DE
225100000X
Physical Therapist
J10001588
DE
225100000X
Physical Therapist
J10002002
DE
225100000X
Physical Therapist
PT007239L
PA
225100000X
Physical Therapist
Primary
PT008005L
PA
225100000X
Physical Therapist
PT017756
PA
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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