Provider Demographics
NPI:1659037588
Name:GM PHYSIOTHERAPY PC
Entity Type:Organization
Organization Name:GM PHYSIOTHERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:INWOOK
Authorized Official - Middle Name:
Authorized Official - Last Name:YEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-317-2387
Mailing Address - Street 1:411 DOYLESTOWN RD UNIT G
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18936-9636
Mailing Address - Country:US
Mailing Address - Phone:267-893-9768
Mailing Address - Fax:267-337-8106
Practice Address - Street 1:411 DOYLESTOWN RD UNIT G
Practice Address - Street 2:
Practice Address - City:MONTGOMERYVILLE
Practice Address - State:PA
Practice Address - Zip Code:18936-9636
Practice Address - Country:US
Practice Address - Phone:267-893-9768
Practice Address - Fax:267-337-8106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT030013OtherPHYSICAL THERAPY LICENSE