Provider Demographics
NPI:1073283529
Name:INTEGRITY PHYSICAL THERAPY AND HEADACHE CLINIC, LLC
Entity Type:Organization
Organization Name:INTEGRITY PHYSICAL THERAPY AND HEADACHE CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:267-408-4434
Mailing Address - Street 1:171 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-4042
Mailing Address - Country:US
Mailing Address - Phone:267-408-4434
Mailing Address - Fax:
Practice Address - Street 1:400 FRANKLIN AVE STE 214
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-5130
Practice Address - Country:US
Practice Address - Phone:267-408-4434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-16
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy