Organization
NORTHEAST ADULT DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX UFBERG P.T. (PHYSICAL THERAPIST, DIRECTOR)
(215) 671-8909
Entity
Organization
Contact information
Practice address
11048 RENNARD ST, PHILADELPHIA, PA 19116-2618
(215) 671-8909
(215) 671-0686
Mailing address
11048 RENNARD ST, PHILADELPHIA, PA 19116-2618
(215) 671-8909
(215) 671-0686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT002109E
PA
Other
Enumeration date
07/08/2006
Last updated
11/06/2007
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