Potential Physical Therapy Llc

LBN: Potential Physical Therapy Llc
Potential Physical Therapy Llc is an health care organization with primary practice located at 134 Lancaster Ave , Malvern PA 19355-2123. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Potential Physical Therapy Llc can be contacted via phone (610) 249-0001, or through Mulik, Supriya S via phone (610) 249-0001.

Contact Information

Primary practice address
134 Lancaster Ave Malvern PA 19355-2123
Phone: (610) 249-0001
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mulik, Supriya S
Phone: (610) 249-0001

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1922591536
LBN Legal business name Potential Physical Therapy Llc
DBA Doing business as
Authorized official Mulik, Supriya S
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2018
Last updated Aug 31st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922591536 NPPES
Pennsylvania Other PT023984 STATE LICENSE

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