Organization Name: | PLAZA PHYSICAL THERAPY |
NPI Number: | 1194994228 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN J KIRBY (PHYSICAL THERAPIST) |
Mailing Address: | 339-343 East Street Road Sterner's Mill Office Complex Trevose |
State: | PA US |
Postal Code: | 19053 |
Phone Number: | 2675748110 |
Fax Number: | 2675748111 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT013564L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |