Organization Name: | ENERGY PHYSICAL THERAPY LLC |
NPI Number: | 1497180335 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIE ANN ADAMSKI (OWNER) |
Mailing Address: | 1405 Roberts Rd Gilbertsville |
State: | PA US |
Postal Code: | 195259195 |
Phone Number: | 6103100915 |
Fax Number: | 4843635954 |
NPI Enumeration Date: | 09/11/2013 |
NPI Last Update Date: | 09/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT015002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |