Healthcare Provider Details

I. General information

NPI: 1023447570
Provider Name (Legal Business Name): CLIFFORD MILOWICKI PHYSICAL THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 11/25/2020
Certification Date: 11/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WATERDAM PLAZA DR STE 102
MC MURRAY PA
15317-5416
US

IV. Provider business mailing address

3540 WASHINGTON RD
MC MURRAY PA
15317-2957
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-7070
  • Fax: 724-941-7033
Mailing address:
  • Phone: 724-941-7070
  • Fax: 724-941-7033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TODD EXLEY
Title or Position: MAJORITY CO-OWNER, MANAGING PARTNER
Credential:
Phone: 724-941-7070