Organization
DREXEL UNIVERSITY
Active
Other names
Drexel University Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GARD DPT, OCS (ASSOCIATE CHAIR)
(215) 762-7460
Entity
Organization
Contact information
Practice address
245 N 15TH ST # MS 502, PHILADELPHIA, PA 19102-1101
(215) 762-7460
(215) 762-1175
Mailing address
245 N 15TH ST # MS 502, PHILADELPHIA, PA 19102-1101
(215) 762-7460
(215) 762-1175
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT007722L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1127435
FIRST HEALTH
PA
01
—
30017828
KEYSTONE MERCY HEALTH PLAN
PA
01
—
3054841
AETNA
PA
01
—
342212
BC/BS
PA
Enumeration date
05/08/2009
Last updated
05/08/2009
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