MEDICARE: BUCKS FAMILY THERAPY CENTER

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
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1679889455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKS FAMILY THERAPY CENTER

Provider Business Mailing Address
First Line	:	73 BUCK RD
Second Line	:	SUITE 7
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-1560
Country	:	US
Telephone Number	:	215-843-7246
Fax Number	:	215-322-6362

Provider Business Practice Location Address
First Line	:	6301 GERMANTOWN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-1907
Country	:	US
Telephone Number	:	215-322-6361
Fax Number	:	215-322-6362

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREW POLNET
Credential	:
Telephone Number	:	215-322-6361

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	08/31/2010

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