Healthcare Provider Details

I. General information

NPI: 1780363309
Provider Name (Legal Business Name): FREEDOM REHABILITATION & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/23/2023
Certification Date: 07/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 WILLOW RD
HELLERTOWN PA
18055-1924
US

IV. Provider business mailing address

457 WILLOW RD
HELLERTOWN PA
18055-1924
US

V. Phone/Fax

Practice location:
  • Phone: 610-405-8255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA PATTERSON
Title or Position: OWNER, PHYSICAL THERAPIST
Credential: PT
Phone: 610-405-8255