Healthcare Provider Details

I. General information

NPI: 1649805110
Provider Name (Legal Business Name): ANNA KERSTETTER DP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2020
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 S MAIN ST
QUAKERTOWN PA
18951-1561
US

IV. Provider business mailing address

7300 JONESTOWN RD
HARRISBURG PA
17112-3653
US

V. Phone/Fax

Practice location:
  • Phone: 215-536-9300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT028316
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: