Organization
TAKOYAKI INNOVATIONS LLC
Active
Other names
Vertigo Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN DAVID SACKS PT, DPT (OWNER)
(610) 563-1598
Entity
Organization
Contact information
Practice address
840 HILLDALE RD, GLENSIDE, PA 19038-3810
(610) 563-1598
Mailing address
840 HILLDALE RD, GLENSIDE, PA 19038-3810
(610) 563-1598
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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