Healthcare Provider Details

I. General information

NPI: 1194875708
Provider Name (Legal Business Name): PERSONAL TOUCH WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W MAIN ST
NORRISTOWN PA
19401-4305
US

IV. Provider business mailing address

1111 W MAIN ST
NORRISTOWN PA
19401-4305
US

V. Phone/Fax

Practice location:
  • Phone: 610-277-5625
  • Fax: 610-277-0535
Mailing address:
  • Phone: 610-277-5625
  • Fax: 610-277-0535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number008539L
License Number StatePA

VIII. Authorized Official

Name: MARY L MASON-SMITH
Title or Position: OWNER
Credential:
Phone: 610-277-5625