Organization
FITLIFE FITNESS & AQUATICS, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY SNYDER (BILLING AGENT)
(610) 282-4239
Entity
Organization
Contact information
Practice address
7140 GERMANTOWN AVE, PHILADELPHIA, PA 19119-1843
(215) 753-9034
(215) 753-9035
Mailing address
7140 GERMANTOWN AVE, PHILADELPHIA, PA 19119-1843
(215) 753-9034
(215) 753-9035
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
186190
PA
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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