Organization
OLYMPIC REHABILITATION AND AQUATIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX UFBERG L.P.T. (LICENSED PHYSICAL THERAPIST)
(215) 671-8909
Entity
Organization
Contact information
Practice address
11040 RENNARD ST, PHILADELPHIA, PA 19116-2618
(215) 671-8909
(215) 671-0686
Mailing address
11040 RENNARD ST, PHILADELPHIA, PA 19116-2618
(215) 671-8909
(215) 671-0686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT-002109-E
PA
Other
Enumeration date
01/25/2007
Last updated
08/22/2020
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