Organization
TRACY HORTER PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY S HORTER PT (OWNER)
(610) 527-0178
Entity
Organization
Contact information
Practice address
919 CONESTOGA RD, BLDG 3 STE 114, ROSEMONT, PA 19010-1352
(610) 527-0178
(610) 527-5770
Mailing address
919 CONESTOGA RD, BLDG 3 STE 114, ROSEMONT, PA 19010-1352
(610) 527-0178
(610) 527-5770
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT002487L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118923800
US DEPT OF LABOR
PA
01
—
1478828
HIGHMARK BS
PA
01
—
2175416000
BC PERSONAL CHOICE KEYSTO
PA
01
—
3721810
AETNA HMO
PA
01
—
4338299
AETNA PPO
PA
Enumeration date
04/25/2006
Last updated
08/18/2008
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