Provider Demographics
NPI:1326284639
Name:PERSONAL TOUCH PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:PERSONAL TOUCH PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ACHJAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHADRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:724-432-3402
Mailing Address - Street 1:215 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EVANS CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16033-1253
Mailing Address - Country:US
Mailing Address - Phone:724-432-3402
Mailing Address - Fax:724-432-3403
Practice Address - Street 1:215 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EVANS CITY
Practice Address - State:PA
Practice Address - Zip Code:16033-1253
Practice Address - Country:US
Practice Address - Phone:724-432-3402
Practice Address - Fax:724-432-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006189L261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy