Organization
RENAISSANCE HEALTHCARE SYSTEM, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MECCA GETHERS OTD, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(215) 290-6377
Entity
Organization
Contact information
Practice address
3216 TURNER ST, PHILADELPHIA, PA 19121-2416
(215) 290-6377
Mailing address
3216 TURNER ST, PHILADELPHIA, PA 19121-2416
(215) 290-6377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT002677L
PA
225X00000X
Occupational Therapist
OC010160
PA
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
OC010160
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017875630001
—
PA
05
—
1026557740001
—
PA
Enumeration date
05/18/2012
Last updated
05/18/2012
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