Healthcare Provider Details
I. General information
NPI: 1801274246
Provider Name (Legal Business Name): PRIORITY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2015
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3131 COLLEGE HEIGHTS BLVD #2600
ALLENTOWN PA
18104-4812
US
IV. Provider business mailing address
3131 COLLEGE HEIGHTS BLVD #2600
ALLENTOWN PA
18104-4812
US
V. Phone/Fax
- Phone: 610-432-7733
- Fax: 610-432-7951
- Phone: 610-432-7733
- Fax: 610-432-7951
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALLISON
BREWER
Title or Position: OWNER/PHYSICAL THERAPIST
Credential:
Phone: 610-432-7733