Healthcare Provider Details

I. General information

NPI: 1871338236
Provider Name (Legal Business Name): ANNEMARIE AKRAM HABIB DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2024
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5944 STEUBENVILLE PIKE STE F
MC KEES ROCKS PA
15136-1315
US

IV. Provider business mailing address

1011 CLOVER MILL CIR
COLLEGEVILLE PA
19426-4006
US

V. Phone/Fax

Practice location:
  • Phone: 412-788-6630
  • Fax:
Mailing address:
  • Phone: 484-250-2626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT61564061
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30191
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT032255
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: