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NPI Code Detail

MEDICARE: RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, LLC

MEDICARE: RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1134165384
Entity Type Code : Organization
Provider Name (Legal Business Name) : RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, LLC
Provider Business Mailing Address
First Line : 833 CHESTNUT ST STE 520
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4430
Country : US
Telephone Number : 609-677-7003
Fax Number : 267-339-3761
Provider Business Practice Location Address
First Line : 833 CHESTNUT ST STE 1220
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-4413
Country : US
Telephone Number : 800-321-9999
Fax Number : 267-479-1321
Authorized Official
Title or Position : DIRECTOR OF BUSINESS OFFICE
Name : KELLI HUBER
Credential :
Telephone Number : 267-338-3690
Provider Enumeration Date : 06/22/2006
Last Update Date : 04/03/2025

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Directions to “RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, LLC ” Practice Location

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