Provider Demographics
NPI:1023447570
Name:CLIFFORD MILOWICKI PHYSICAL THERAPY SERVICES LLC
Entity type:Organization
Organization Name:CLIFFORD MILOWICKI PHYSICAL THERAPY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MAJORITY CO-OWNER, MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:EXLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-941-7070
Mailing Address - Street 1:3540 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2957
Mailing Address - Country:US
Mailing Address - Phone:724-941-7070
Mailing Address - Fax:724-941-7033
Practice Address - Street 1:2001 WATERDAM PLAZA DR STE 102
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5416
Practice Address - Country:US
Practice Address - Phone:724-941-7070
Practice Address - Fax:724-941-7033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-05
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty