Healthcare Provider Details

I. General information

NPI: 1558281725
Provider Name (Legal Business Name): PATRICK BAMBRICK PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 SCHOENERSVILLE RD
BETHLEHEM PA
18018-1864
US

IV. Provider business mailing address

831 LEHIGH ST APT 3F
EASTON PA
18042-4327
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-1735
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT034150
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: