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Organization

SQUARE ONE PHYSICAL THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GORDON RIDDLE PT (PHYSICAL THERAPIST)
(412) 760-4874
Entity
Organization

Contact information

Practice address
4543 MCKNIGHT RD, PITTSBURGH, PA 15237-3108
(412) 748-1616
Mailing address
1204 E ELFINWILD RD, ALLISON PARK, PA 15101-3915
(412) 748-1616
(412) 213-0881

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
261QP2000X
Physical Therapy Clinic/Center
Primary
PT017595
PA

Other

Enumeration date
06/21/2016
Last updated
04/27/2020
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