Basic Information
| Provider Information | |||||||||
| NPI: | 1770532111 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | PERSONAL TOUCH PHYSICAL THERAPY & WELLNESS CENTER | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ADVANTAGE INTEGRATED THERAPY CENTERS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 983A E LANCASTER AVE | ||||||||
| Address2: | |||||||||
| City: | DOWNINGTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193353328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6106963305 | ||||||||
| FaxNumber: | 6106963306 | ||||||||
| Practice Location | |||||||||
| Address1: | 790 E MARKET ST | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193824806 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6106963305 | ||||||||
| FaxNumber: | 6106963306 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2006 | ||||||||
| LastUpdateDate: | 03/13/2019 | ||||||||
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| AuthorizedOfficialLastName: | SAYLERS | ||||||||
| AuthorizedOfficialFirstName: | HEATHER | ||||||||
| AuthorizedOfficialMiddleName: | E. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER/PHYSICAL THERAPIST | ||||||||
| AuthorizedOfficialTelephone: | 6106963305 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MPT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PTOO9008E | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.