Organization
GW PHYSIO & PERFORMANCE LLC
Active
Other names
GW Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAVIN WANG (OWNER)
(267) 994-8441
Entity
Organization
Contact information
Practice address
605 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1105
(267) 388-0633
Mailing address
53 COTTONWOOD DR, HOLLAND, PA 18966-2859
(267) 994-8441
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/07/2020
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