Provider Demographics
NPI:1366061392
Name:NGO, ARTHUR R (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:R
Last Name:NGO
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 BEWLEY RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5316
Mailing Address - Country:US
Mailing Address - Phone:267-279-9086
Mailing Address - Fax:
Practice Address - Street 1:310 BEWLEY RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5316
Practice Address - Country:US
Practice Address - Phone:267-279-9086
Practice Address - Fax:267-651-9451
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023809225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist