Tessa Haas

Individual provider Active NPI Physical Therapy Assistant · Pitman, PA

NPI 1053731349 · NPPES record last updated Apr 25, 2014

Key facts

NPI
1053731349
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TE009951 (PA)
Practice address
200 Taylorsville Mountain Rd
Pitman, PA 17964-9104
Phone
(570) 644-0489
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
TE009951PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE009951 PA Yes

Addresses

Primary practice location

200 Taylorsville Mountain Rd
Pitman, PA 17964-9104

Mailing address

200 Taylorsville Mountain Rd
Pitman, PA 17964-9104

Other providers in Pitman, PA

All providers in Pitman, PA · Physical Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.