Healthcare Provider Details

I. General information

NPI: 1841588167
Provider Name (Legal Business Name): MARY RITA BARR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2011
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 MINGO WAY
TOWNSEND DE
19734-9438
US

IV. Provider business mailing address

272 MINGO WAY
TOWNSEND DE
19734-9438
US

V. Phone/Fax

Practice location:
  • Phone: 610-393-9142
  • Fax:
Mailing address:
  • Phone: 610-393-9142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021278
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: