Individual
LOREN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MONUMENT RD STE 110, BALA CYNWYD, PA 19004-1725
(610) 270-0370
(610) 270-0374
Mailing address
475 ALLENDALE RD STE 206, KING OF PRUSSIA, PA 19406-1495
(610) 270-0370
(610) 270-0374
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01756300
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
PT027694
PA
Other
Enumeration date
01/08/2018
Last updated
12/04/2019
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