Healthcare Provider Details

I. General information

NPI: 1003320672
Provider Name (Legal Business Name): SENIOR CARE THERAPY OF PENNSYLVANIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2017
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 CHESTER PIKE
PROSPECT PARK PA
19076-2322
US

IV. Provider business mailing address

2719 HOLLYWOOD BLVD STE 5469
HOLLYWOOD FL
33020-4821
US

V. Phone/Fax

Practice location:
  • Phone: 973-264-0023
  • Fax: 973-264-0022
Mailing address:
  • Phone: 973-264-0023
  • Fax: 973-264-0022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: AARON ROSENFELD
Title or Position: SECRETARY
Credential:
Phone: 973-264-0023