Organization
AQUAHAB, LP
Active
Other names
Aquahab Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA GORMAN (SENIOR VICE PRESIDENT)
(856) 751-5177
Entity
Organization
Contact information
Practice address
3600 GRANT AVE, PHILA, PA 19114-2630
(215) 677-0400
(215) 671-1837
Mailing address
3600 GRANT AVENUE, PHILADELPHIA, PA 19114
(856) 751-5177
(856) 751-5489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/15/2005
Last updated
06/19/2017
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