Healthcare Provider Details
I. General information
NPI: 1316090517
Provider Name (Legal Business Name): THE READING NECK AND SPINE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/19/2007
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1270 BROADCASTING RD
WYOMISSING PA
19610-3203
US
IV. Provider business mailing address
1270 BROADCASTING RD
WYOMISSING PA
19610-3203
US
V. Phone/Fax
- Phone: 610-372-1140
- Fax: 610-372-7684
- Phone: 610-372-1140
- Fax: 610-372-7684
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
DAVID
JAMES
ABRAHAM
Title or Position: PRES, READING NECK AND SPINE
Credential: MD
Phone: 610-372-1140