Healthcare Provider Details

I. General information

NPI: 1720207582
Provider Name (Legal Business Name): KATHLEEN ESTHER KLEIN P.T.,C.H.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHLEEN ELLEN SNOUFFER P.T.

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 PULASKI HWY
BEAR DE
19701-1453
US

IV. Provider business mailing address

1161 MCDERMOTT DR
WEST CHESTER PA
19380-4064
US

V. Phone/Fax

Practice location:
  • Phone: 919-258-2714
  • Fax: 410-648-4878
Mailing address:
  • Phone: 484-356-9401
  • Fax: 484-356-9405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0002348
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT017738
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: