Organization
PT-ONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KELLY PT (PT)
(215) 789-3538
Entity
Organization
Contact information
Practice address
1835 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19103-2968
(215) 789-3538
Mailing address
3455 W PENN ST, PHILADELPHIA, PA 19129-1438
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT013908L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT013908L
PHYSICAL THERAPY LICENSE
PA
Enumeration date
05/31/2007
Last updated
08/22/2020
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