Healthcare Provider Details

I. General information

NPI: 1366479313
Provider Name (Legal Business Name): RITA FRANCES GEDDES PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RITA FRANCES REISIG PT

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 VETERANS HIGHWAY SUITE 103
LEVITTOWN PA
19056
US

IV. Provider business mailing address

1270 JASMINE WAY
FEASTERVILLE PA
19053-2385
US

V. Phone/Fax

Practice location:
  • Phone: 215-752-4553
  • Fax: 215-752-0703
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberPT006267L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: