Organization
EASTERN APPROACH REHABILITATION CENTER LLC
Active
Organization
EASTERN APPROACH REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH J WANG DPT, DC (OWNER)
(267) 992-1338
Entity
Organization
Contact information
Practice address
10100 JAMISON AVE STE 222, PHILADELPHIA, PA 19116-3832
(215) 676-3870
(215) 676-6856
Mailing address
10100 JAMISON AVE STE 222, PHILADELPHIA, PA 19116-3832
(215) 676-3870
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC0074444L
PA
225100000X
Physical Therapist
Primary
PT015799
PA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001614143
HIGHMARK BLUE SHIELD ID
PA
Enumeration date
06/10/2006
Last updated
03/05/2024
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