Healthcare Provider Details
I. General information
NPI: 1881693505
Provider Name (Legal Business Name): READING-BERKS PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7171 BERNVILLE RD
BERNVILLE PA
19506-8624
US
IV. Provider business mailing address
3405 POINCIANA AVE
READING PA
19605-1562
US
V. Phone/Fax
- Phone: 610-488-7854
- Fax: 610-488-8215
- Phone: 610-929-5948
- Fax: 610-488-8215
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | PT000378E |
| License Number State | PA |
VIII. Authorized Official
Name: MS.
KATHY
HUME
Title or Position: HUMAN RESOURCE DIRECTOR
Credential:
Phone: 610-921-0609