Provider Demographics
NPI:1538508650
Name:BELOV, DENIS O (RPT)
Entity Type:Individual
Prefix:MR
First Name:DENIS
Middle Name:O
Last Name:BELOV
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 CENTURY LN
Mailing Address - Street 2:APT. # A42
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-2653
Mailing Address - Country:US
Mailing Address - Phone:856-264-7024
Mailing Address - Fax:856-210-1888
Practice Address - Street 1:2835 CENTURY LN
Practice Address - Street 2:APT. # A42
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-2653
Practice Address - Country:US
Practice Address - Phone:856-264-7024
Practice Address - Fax:856-210-1888
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist