Provider Demographics
NPI:1023211893
Name:PINNACLE REHAB CENTERS
Entity type:Organization
Organization Name:PINNACLE REHAB CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:BURSE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-548-0202
Mailing Address - Street 1:199 W NEDRO AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2458
Mailing Address - Country:US
Mailing Address - Phone:215-548-0202
Mailing Address - Fax:215-548-0324
Practice Address - Street 1:199 W NEDRO AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-2458
Practice Address - Country:US
Practice Address - Phone:215-548-0202
Practice Address - Fax:215-548-0324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005297L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty