| Pennsport West | |
|
1809 W Oregon Ave, 3rd Floor, Phila, PA 19145-3710 | |
| (215) 467-1800 | |
| (215) 467-8120 |
| Full Name | Pennsport West |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1809 W Oregon Ave, Phila, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245230754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsport West 1809 W Oregon Ave, 3rd Floor, Phila, PA 19145-3710 Ph: (215) 467-1800 | Pennsport West 1809 W Oregon Ave, 3rd Floor, Phila, PA 19145-3710 Ph: (215) 467-1800 |
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Mrs. Michele Renee Aguado, B.S. P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 Cherry St, Phila, PA 19106 Phone: 800-974-6383 | |
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