Organization
PROSPECT HEALTH ACCESS NETWORK, INC.
Active
Other names
Crozer Keystone Physical Medicine and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JON ELDERS (SECRETARY)
(714) 788-1249
Entity
Organization
Contact information
Practice address
485 BALTIMORE PIKE, SUITE 202, GLEN MILLS, PA 19342-1161
(610) 588-9222
(610) 588-9033
Mailing address
485 BALTIMORE PIKE, SUITE 202, GLEN MILLS, PA 19342-1161
(610) 588-9222
(610) 588-9033
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/19/2016
Last updated
01/15/2021
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