Healthcare Provider Details

I. General information

NPI: 1235161076
Provider Name (Legal Business Name): OXFORD REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 07/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6735 HARBISON AVE
PHILADELPHIA PA
19149
US

IV. Provider business mailing address

6735 HARBISON AVE
PHILADELPHIA PA
19149
US

V. Phone/Fax

Practice location:
  • Phone: 215-725-2000
  • Fax: 215-725-8655
Mailing address:
  • Phone: 215-725-2000
  • Fax: 215-725-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARC C COHEN
Title or Position: PRESIDENT
Credential: DC
Phone: 215-725-2000