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Organization
THE CENTER FOR PEDIATRIC THERAPY INC
Active
Organization
THE CENTER FOR PEDIATRIC THERAPY INC
Active
Parent organization
THE CENTER FOR PEDIATRIC THERAPY INC
Other names
the center for pediatric therapy inc physical therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CENTER FOR PEDIATRIC THERAPY INC
Authorized official
MR. WAYNE JENSEN (BUSINESS MANAGER)
(610) 670-8600
Entity
Organization
Contact information
Practice address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Mailing address
9 BRISTOL CT, WYOMISSING, PA 19610-1851
(610) 670-8600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015720
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1939281
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/11/2007
Last updated
11/13/2007
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