Organization
EVOLVE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARI M RAPHAEL LPT (OWNER)
(215) 886-4000
Entity
Organization
Contact information
Practice address
1411 WOODBOURNE RD, LEVITTOWN, PA 19057-1540
(215) 886-4000
(215) 886-2020
Mailing address
801 OLD YORK RD STE 401, JENKINTOWN, PA 19046-1625
(215) 886-4000
(215) 886-2020
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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