Organization
BROOMALL REHAB SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY J BRAND (ADMINISTRATOR)
(610) 359-1134
Entity
Organization
Contact information
Practice address
1999 SPROUL RD, SUITE 10, BROOMALL, PA 19008-3508
(610) 359-1134
(610) 353-2109
Mailing address
1999 SPROUL RD, SUITE 10, BROOMALL, PA 19008-3508
(610) 359-1134
(610) 353-2109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073983000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/23/2006
Last updated
08/22/2020
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