Organization
PT AT HOME PHYSICAL THERAPY AND WELLNESS SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LE ANGELO A VILLACERAN PHYSICAL THERAPIST (REHAB MANAGER)
(610) 533-1849
Entity
Organization
Contact information
Practice address
450 MOUNTAIN VIEW RD, NAZARETH, PA 18064-9642
(610) 533-1849
Mailing address
450 MOUNTAIN VIEW RD, NAZARETH, PA 18064-9642
(610) 533-1849
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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