Provider Demographics
NPI:1588959761
Name:IN YOUR HOME PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:IN YOUR HOME PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHESSAULT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:484-629-8770
Mailing Address - Street 1:290 KRAKOW DR
Mailing Address - Street 2:
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-8935
Mailing Address - Country:US
Mailing Address - Phone:484-629-8770
Mailing Address - Fax:610-377-0735
Practice Address - Street 1:290 KRAKOW DR
Practice Address - Street 2:
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-8935
Practice Address - Country:US
Practice Address - Phone:484-629-8770
Practice Address - Fax:610-377-0735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2013-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016304225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty