Healthcare Provider Details

I. General information

NPI: 1134176209
Provider Name (Legal Business Name): PRECISION PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 05/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4437 PENELL ROAD
ASTON PA
19014-3010
US

IV. Provider business mailing address

4437 PENNELL ROAD
ASTON PA
19014-3010
US

V. Phone/Fax

Practice location:
  • Phone: 610-859-8344
  • Fax: 610-859-8360
Mailing address:
  • Phone: 610-859-8344
  • Fax: 610-859-8360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT015168
License Number StatePA

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP, AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000