Organization
ADVANCED PHYSICAL THERAPY & SPORTS REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL SLOBODSKOI PT (MANAGER)
(267) 242-0077
Entity
Organization
Contact information
Practice address
10100 JAMISON AVE, JCC GREATER NE, PHILADELPHIA, PA 19116-3832
(267) 968-0381
Mailing address
10100 JAMISON AVENUE, JCCS GREATER NE, PHILADELPHIA, PA 19116
(267) 968-0381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT018210
PA
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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