Organization
ILUMINAR PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KINDRA SCOTT PT (OWNER)
(267) 297-6499
Entity
Organization
Contact information
Practice address
2000 HAMILTON ST STE 301, PHILADELPHIA, PA 19130-3874
(267) 297-6499
Mailing address
105 SUMMERBROOKE CT, SICKLERVILLE, NJ 08081-9685
(267) 297-6499
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
07/11/2023
Last updated
07/13/2023
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