Provider Demographics
NPI:1316347164
Name:THE TRAINING ROOM OF GARNET VALLEY, LLC
Entity type:Organization
Organization Name:THE TRAINING ROOM OF GARNET VALLEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUGGARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:856-874-1166
Mailing Address - Street 1:11 FORELOCK COURT
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382
Mailing Address - Country:US
Mailing Address - Phone:856-874-1166
Mailing Address - Fax:856-874-1188
Practice Address - Street 1:11 FORELOCK COURT
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382
Practice Address - Country:US
Practice Address - Phone:856-874-1166
Practice Address - Fax:856-874-1188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-29
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy