Organization
CONCIERGE PHYSICAL THERAPY, LLC
Active
Organization
CONCIERGE PHYSICAL THERAPY, LLC
Active
Other names
Concierge Physical Therapy& Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWATITOYIN OGUNSOLA-SMITH PT (CEO)
(813) 453-9896
Entity
Organization
Contact information
Practice address
1445 S BEULAH ST, PHILADELPHIA, PA 19147-5725
(813) 453-9896
Mailing address
1445 S BEULAH ST, PHILADELPHIA, PA 19147-5725
(813) 453-9896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6372805
PA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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