Healthcare Provider Details

I. General information

NPI: 1790080455
Provider Name (Legal Business Name): FIRST STEPS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2011
Last Update Date: 09/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 WINDSOR WAY
DOYLESTOWN PA
18901-2660
US

IV. Provider business mailing address

233 WINDSOR WAY
DOYLESTOWN PA
18901-2660
US

V. Phone/Fax

Practice location:
  • Phone: 215-348-7775
  • Fax: 215-348-1134
Mailing address:
  • Phone: 215-348-7775
  • Fax: 215-348-1134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT002387E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StatePA

VIII. Authorized Official

Name: CAROL MANNO
Title or Position: OWNER
Credential: PT
Phone: 215-348-7775