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Organization

NORTHWEST PHYSICAL THERAPY AND WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD J ALEXANDER (CEO AND ADMINISTRATIVE DIRECTOR)
(215) 294-0612
Entity
Organization

Contact information

Practice address
7618 OGONTZ AVE FL 1, PHILADELPHIA, PA 19150-1817
(215) 224-1494
(215) 224-1495
Mailing address
93 OLD YORK RD STE 1-756, JENKINTOWN, PA 19046-3925
(215) 294-0612

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
PA

Other

Enumeration date
02/22/2018
Last updated
02/22/2018
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