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Organization
INTEGRATED PHYSICAL THERAPY, LLC
Active
Organization
INTEGRATED PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE M GRELLO (OWNER)
(610) 265-2230
Entity
Organization
Contact information
Practice address
357 S GULPH RD STE 310, KING OF PRUSSIA, PA 19406-3136
(610) 265-2230
(610) 265-2240
Mailing address
357 S GULPH RD STE 310, KING OF PRUSSIA, PA 19406-3136
(610) 265-2230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013857L
PA
2251S0007X
Sports Physical Therapist
PT013857L
PA
2251X0800X
Orthopedic Physical Therapist
PT013857L
PA
Other
Enumeration date
10/26/2006
Last updated
10/13/2020
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