Healthcare Provider Details

I. General information

NPI: 1437305513
Provider Name (Legal Business Name): ORTHOPEDIC & SPORTS PHYSICAL THERAPY SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2008
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 OLD CUTHBERT RD
CHERRY HILL NJ
08034-1414
US

IV. Provider business mailing address

420 BAINBRIDGE ST
PHILADELPHIA PA
19147-1568
US

V. Phone/Fax

Practice location:
  • Phone: 856-424-7524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number080000015249
License Number StatePA

VIII. Authorized Official

Name: JEFFREY OSTROWSKI
Title or Position: OWNER
Credential: PT
Phone: 215-629-3837