Unknown Individual – Physical Therapist, NPI 1205044591
Physical Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
111, Brookline Boulevard, Brookline, Havertown, Haverford Township, Delaware County, Pennsylvania, 19083, United States
HAVERTOWN, PA 190833803
Phone: (610) 853-0437
Type: Mailing
Lansdowne Avenue, Winding Way, Drexel Hill, Springfield, Upper Darby, Delaware County, Pennsylvania, 19026, United States
DARBY, PA 190231200
Phone: (610) 237-4390
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19083)
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