Healthcare Provider Details

I. General information

NPI: 1174815856
Provider Name (Legal Business Name): GOOD FORTUNE THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1461 ROTHLEY AVE
WILLOW GROVE PA
19090-4817
US

IV. Provider business mailing address

1461 ROTHLEY AVE
WILLOW GROVE PA
19090-4817
US

V. Phone/Fax

Practice location:
  • Phone: 215-439-5563
  • Fax:
Mailing address:
  • Phone: 215-439-5563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MAURICE RICH
Title or Position: OWNER
Credential:
Phone: 215-439-5563