MEDICARE: DR. KAY ANN SCANLON PT,DPT,OCS, DIP MDT

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	2251X0800X	Orthopedic Physical Therapist	PT004073L	PA

General Provider Information

NPI Number	:	1770581068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAY ANN SCANLON PT,DPT,OCS, DIP MDT

Provider Business Mailing Address
First Line	:	261 OLD YORK RD
Second Line	:	SUITE 701
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-3706
Country	:	US
Telephone Number	:	215-884-1709
Fax Number	:	215-405-2745

Provider Business Practice Location Address
First Line	:	261 OLD YORK RD
Second Line	:	SUITE 701
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-3706
Country	:	US
Telephone Number	:	215-884-1709
Fax Number	:	215-405-2745

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	04/30/2012

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