Organization
CONSHOHOCKEN PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESIREA D CAUCCI DPT (PRESIDENT)
(610) 828-7595
Entity
Organization
Contact information
Practice address
20 E 11TH AVE, CONSHOHOCKEN, PA 19428-1555
(610) 828-7595
(610) 828-7505
Mailing address
20 E 11TH AVE, CONSHOHOCKEN, PA 19428-1555
(610) 828-7595
(610) 828-7505
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT015693
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220700
ORTHONET
PA
01
—
1417588
HIGHMARK BS INDIVIDUAL
PA
01
—
1732275
HIGHMARK BS GROUP
PA
01
—
17588
AMERIHEALTH ADMINISTRATOR
PA
01
—
1881699213
INDIVIDUAL NPI
PA
01
—
2103996000
INDEPENDENCE BC INDIV
PA
01
—
2402306
INDEPENDENCE BC GROUP
PA
01
—
3498858
AETNA NON PAR
PA
01
—
5630094
FIRST HEALTH
PA
01
—
700260
UNITED HEALTHCARE/ACN
PA
01
—
7051525
AWCA GROUP
PA
01
—
737511
NCPPO
PA
01
—
7385670
AWCA INDIVIDUAL
PA
01
—
8279722
CIGNA
PA
Enumeration date
10/03/2006
Last updated
07/08/2011
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