Healthcare Provider Details

I. General information

NPI: 1548184229
Provider Name (Legal Business Name): BAILEY ANN LOTOZO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 E TOWNSHIP LINE RD
UPPER DARBY PA
19082-1019
US

IV. Provider business mailing address

115 E TOWNSHIP LINE RD
UPPER DARBY PA
19082-1019
US

V. Phone/Fax

Practice location:
  • Phone: 610-789-1800
  • Fax: 610-789-2627
Mailing address:
  • Phone: 610-789-1800
  • Fax: 610-789-2627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberCP060099A
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: