Organization
CAPSTONE PHYSICAL THERAPY & FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALLEN DONATHAN PT (OWNER)
(215) 872-3595
Entity
Organization
Contact information
Practice address
11000 ROOSEVELT BLVD, WORLD GYM FITNESS CENTER, PHILADELPHIA, PA 19116-3961
(215) 872-3595
Mailing address
4000 GYPSY LN, #310, PHILADELPHIA, PA 19129-5460
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT012924
PA
Other
Enumeration date
01/22/2008
Last updated
06/05/2008
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