Provider Demographics
NPI:1811434335
Name:CHRISTIAN RADZINSKI DPT PC
Entity type:Organization
Organization Name:CHRISTIAN RADZINSKI DPT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RADZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:267-210-4114
Mailing Address - Street 1:586 WEBSTER AVE
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-7535
Mailing Address - Country:US
Mailing Address - Phone:267-210-4114
Mailing Address - Fax:
Practice Address - Street 1:808 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-2235
Practice Address - Country:US
Practice Address - Phone:215-236-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-22
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA024495261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy