Organization Name: | TRACY HORTER PHYSICAL THERAPY LLC |
NPI Number: | 1275599409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY S HORTER (OWNER) |
Mailing Address: | 919 Conestoga Rd Bldg 3 Ste 114 Rosemont |
State: | PA US |
Postal Code: | 190101352 |
Phone Number: | 6105270178 |
Fax Number: | 6105275770 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT002487L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |