Organization
SFAS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WIETHOLDER (PHYSICAL THERAPIST)
(412) 653-7970
Entity
Organization
Contact information
Practice address
347A OLD CURRY HOLLOW RD, PITTSBURGH, PA 15236-4608
(412) 653-7970
Mailing address
1601 MCELHENY RD, SOUTH PARK, PA 15129-8986
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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