Organization
PETROSKI PHYSIOTHERAPY AND PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS PETROSKI DPT (OWNER)
(215) 576-4796
Entity
Organization
Contact information
Practice address
12331 ACADEMY RD, PHILADELPHIA, PA 19154-1927
(215) 576-4796
Mailing address
12331 ACADEMY RD, PHILADELPHIA, PA 19154-1927
(215) 576-4796
(215) 392-5175
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871011882
N/A
PA
Enumeration date
09/27/2018
Last updated
11/10/2025
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