Provider Demographics
NPI:1073276044
Name:WALK N' ROLL PEDIATRICS
Entity Type:Organization
Organization Name:WALK N' ROLL PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:PORAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:610-763-2448
Mailing Address - Street 1:555 DUPONT ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-2613
Mailing Address - Country:US
Mailing Address - Phone:610-763-2448
Mailing Address - Fax:
Practice Address - Street 1:555 DUPONT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-2613
Practice Address - Country:US
Practice Address - Phone:610-763-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy