Organization
PROSOURCEPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN PETER WHITE PT (PHYSICAL THERAPIST, OWNER, MANAGER)
(215) 479-0119
Entity
Organization
Contact information
Practice address
421 W 5TH AVE, CONSHOHOCKEN, PA 19428-1671
(215) 479-0119
Mailing address
421 W 5TH AVE, CONSHOHOCKEN, PA 19428-1671
(215) 479-0119
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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