Healthcare Provider Details

I. General information

NPI: 1336566876
Provider Name (Legal Business Name): PINWHEELS EARLY CHILDHOOD THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2014
Last Update Date: 08/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S CHESTER RD
SWARTHMORE PA
19081-2224
US

IV. Provider business mailing address

225 BISHOP DR
ASTON PA
19014-1324
US

V. Phone/Fax

Practice location:
  • Phone: 484-437-7088
  • Fax: 610-459-3837
Mailing address:
  • Phone: 484-437-7088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHRYN W SINGLES
Title or Position: PRESIDENT
Credential: MSS, LCSW
Phone: 484-437-7088