Organization
BURGETTSTOWN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MARK CHRISTOFF MPT (PRESIDENT)
(412) 670-4435
Entity
Organization
Contact information
Practice address
2038 SMITH TOWNSHIP STATE ROAD, SUITE 4, BURGETTSTOWN, PA 15021
(724) 947-1002
(724) 947-1007
Mailing address
470 JOHNSON RD STE 140, WASHINGTON, PA 15301-8977
(724) 223-2061
(724) 223-2064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007454L
PA
225100000X
Physical Therapist
PT014083L
PA
225100000X
Physical Therapist
PT015245
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018763840004
—
PA
Enumeration date
12/08/2006
Last updated
10/04/2023
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