Provider Demographics
NPI:1093062697
Name:OLD TOWNE PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:OLD TOWNE PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:32695 LONG NECK RD
Mailing Address - Street 2:BLDG 1 UNIT 3
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-6693
Mailing Address - Country:US
Mailing Address - Phone:302-839-0900
Mailing Address - Fax:302-839-0901
Practice Address - Street 1:32695 LONG NECK RD
Practice Address - Street 2:BLDG 1 UNIT 3
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6693
Practice Address - Country:US
Practice Address - Phone:302-839-0900
Practice Address - Fax:302-839-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies