Organization
OCCUCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES RICHARDSON D.C. (CLINICAL DIRECTOR)
(215) 725-2000
Entity
Organization
Contact information
Practice address
6735 HARBISON AVE, PHILADELPHIA, PA 19149-2305
(215) 725-2000
(215) 725-8655
Mailing address
6735 HARBISON AVE, PHILADELPHIA, PA 19149-2305
(215) 725-2000
(215) 725-8655
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
DC003974L
PA
225100000X
Physical Therapist
DAPT000149
PA
225200000X
Physical Therapy Assistant
TE007437
PA
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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