Organization
PLAZA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN J KIRBY MSPT (PHYSICAL THERAPIST)
(267) 574-8110
Entity
Organization
Contact information
Practice address
339-343 EAST STREET ROAD, STERNER'S MILL OFFICE COMPLEX, TREVOSE, PA 19053
(267) 574-8110
(267) 574-8111
Mailing address
339-343 EAST STREET ROAD, STERNER'S MILL OFFICE COMPLEX, TREVOSE, PA 19053
(267) 574-8110
(267) 574-8111
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT013564L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2076570000
INDEPENDENCE BLUE SHIELD
PA
Enumeration date
02/22/2008
Last updated
02/22/2008
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