John Wesolowich, DPT

Individual provider Active NPI Physical Therapist · Rockledge, PA

NPI 1962444083 · NPPES record last updated Aug 19, 2014

Key facts

NPI
1962444083
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT005158L (PA)
Practice address
888 Fox Chase Rd
Rockledge, PA 19046-4437
Phone
(215) 663-8050
Fax
(215) 663-9388
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT005158LPAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT005158L PA Yes

Addresses

Primary practice location

888 Fox Chase Rd
Rockledge, PA 19046-4437

Mailing address

888 Fox Chase Rd
Rockledge, PA 19046-4437
Phone (215) 663-8050

Other providers in Rockledge, PA

All providers in Rockledge, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.