Organization Name: | CORE 3 PHYSICAL THERAPY, LLC |
NPI Number: | 1740673615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLE KNIPPENBERG (OWNER) |
Mailing Address: | 1699 Bethlehem Pike Ste S-3 Hatfield |
State: | PA US |
Postal Code: | 194401302 |
Phone Number: | 6102207319 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2015 |
NPI Last Update Date: | 03/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT021666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |