Provider Demographics
NPI:1154376945
Name:PHYSICAL THERAPY WORKSHOP, INC
Entity type:Organization
Organization Name:PHYSICAL THERAPY WORKSHOP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SPANGENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:610-466-7060
Mailing Address - Street 1:245 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3232
Mailing Address - Country:US
Mailing Address - Phone:610-466-7060
Mailing Address - Fax:610-466-7069
Practice Address - Street 1:245 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3232
Practice Address - Country:US
Practice Address - Phone:610-466-7060
Practice Address - Fax:610-466-7069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty