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Organization
ORTHOPEDIC AND SPORTS PHYSICAL THERAPY SERVICES, INC.
Active
Organization
ORTHOPEDIC AND SPORTS PHYSICAL THERAPY SERVICES, INC.
Active
Other names
Excel Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ROBERT OSTROWSKI PT (CEO)
(215) 629-3837
Entity
Organization
Contact information
Practice address
9389 KREWSTOWN RD, NORTHEAST RACQUET CLUB & FITNESS CENTER, PHILADELPHIA, PA 19115-3710
(215) 676-6760
(215) 676-3746
Mailing address
420 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1568
(215) 629-3837
(215) 629-5531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213007
ORTHONET
PA
01
—
0444631000
BCBS HMO GROUP#
PA
01
—
118100602
US DEPT OF LABOR
PA
01
—
4566762
AETNA PPO GROUP#
PA
01
—
966448
BCBS PPO GROUP #
PA
01
—
99493
AETNA HMO GROUP#
PA
Enumeration date
05/11/2006
Last updated
05/12/2008
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