Provider Demographics
NPI:1194470849
Name:BEWHOLE PELVIC PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:BEWHOLE PELVIC PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAVITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARANJOTHI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT,PRPC
Authorized Official - Phone:267-312-3437
Mailing Address - Street 1:3573 BRISTOL PIKE REAR 101
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4666
Mailing Address - Country:US
Mailing Address - Phone:267-312-3437
Mailing Address - Fax:
Practice Address - Street 1:3573 BRISTOL PIKE REAR SUITE101
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4666
Practice Address - Country:US
Practice Address - Phone:267-312-3437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty