Organization
COUNTY OF MONTGOMERY PHYSICAL THERAPY
Active
Parent organization
PARKHOUSE PROVIDENCE POINTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARKHOUSE PROVIDENCE POINTE
Authorized official
MELANIE DEBLASE DON (ADMINISTRATOR)
(610) 792-2224
Entity
Organization
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063474492
NPI
PA
01
—
178124
PROVIDER NUMBER
PA
Enumeration date
05/23/2008
Last updated
05/23/2008
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