MEDICARE: DR. DONNA W. PELURA PT, DPT, MTC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT012590L	PA

General Provider Information

NPI Number	:	1083687503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA W. PELURA PT, DPT, MTC

Provider Business Mailing Address
First Line	:	3855 W CHESTER PIKE
Second Line	:	SUITE 200
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 W CHESTER PIKE
Second Line	:	SUITE 200
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2304
Country	:	US
Telephone Number	:	484-337-6081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	04/08/2024

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