Patricia Ann Wandishin, PTA
Individual provider Active NPI Physical Therapy Assistant · Drums, PA
NPI 1326246786 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1326246786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE007264 (PA)
- Practice address
- 62 E Foothills Dr
Drums, PA 18222-2730 - Phone
- (570) 788-7028
- NPI assigned
- Jul 6, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| TE007264 | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE007264 | PA | Yes |
Addresses
Primary practice location
62 E Foothills Dr
Drums, PA 18222-2730
Mailing address
62 E Foothills Dr
Drums, PA 18222
Phone (570) 788-7028
Other providers in Drums, PA
- Valley Regional Fire and Rescue Inc
- Linda M Veglia
- Nicole Velasquez
- Margaret Mary Ventrella
- Amy Viti
- Kelly Ward
- Whole Life Center for Health, LTD.
- Cheryl Marie Williams
- Wolf River Psychotherapy & Coaching
- Lisa Wolk
All providers in Drums, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.