Provider Demographics
NPI:1164877254
Name:PURSUE PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:PURSUE PHYSICAL THERAPY AND WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PNINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUZNITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-495-3620
Mailing Address - Street 1:1060 WHITEGATE RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2183
Mailing Address - Country:US
Mailing Address - Phone:267-847-1079
Mailing Address - Fax:610-495-3623
Practice Address - Street 1:100 SPRINGHOUSE DR STE 206LL
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-4709
Practice Address - Country:US
Practice Address - Phone:610-569-0004
Practice Address - Fax:610-569-0005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty