Organization
PRIMAL PHYSICAL THERAPY ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER J THOMAS MPT (OWNER)
(302) 897-8496
Entity
Organization
Contact information
Practice address
905 W LANCASTER AVE, BRYN MAWR, PA 19010-3011
(302) 897-8496
(484) 489-2787
Mailing address
124 N EDMONDS AVE, HAVERTOWN, PA 19083-5023
(302) 897-8496
(484) 489-2787
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT025088
PA
Other
Enumeration date
10/24/2016
Last updated
08/23/2024
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