Healthcare Provider Details

I. General information

NPI: 1871831610
Provider Name (Legal Business Name): ELIZABETH ANN CINBERG P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2013
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 LIMEKILN PIKE
DRESHER PA
19025-1018
US

IV. Provider business mailing address

1232 THOMAS DR
FORT WASHINGTON PA
19034-1647
US

V. Phone/Fax

Practice location:
  • Phone: 215-591-4000
  • Fax:
Mailing address:
  • Phone: 215-542-1101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT007359L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: