Healthcare Provider Details

I. General information

NPI: 1922076934
Provider Name (Legal Business Name): ALLYN ANDERSON BARTH PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1439 HEATHER CIRCLE
YARDELY PA
19067
US

IV. Provider business mailing address

1439 HEATHER CIRCLE
YARDLEY PA
19067
US

V. Phone/Fax

Practice location:
  • Phone: 267-312-6301
  • Fax: 215-369-0229
Mailing address:
  • Phone: 267-312-6301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT005738L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: