Donald Carl Clouser Jr.

Individual provider Active NPI Physical Therapy Assistant · Laureldale, PA

NPI 1326299447 · NPPES record last updated Oct 7, 2008

Key facts

NPI
1326299447
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TE002102L (PA)
Practice address
2125 Elizabeth Ave
Laureldale, PA 19605-2259
Phone
(610) 921-9292
NPI assigned
Oct 7, 2008
Sex
Male
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
TE002102LPAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE002102L PA Yes

Addresses

Primary practice location

2125 Elizabeth Ave
Laureldale, PA 19605-2259

Mailing address

2125 Elizabeth Ave
Laureldale, PA 19605-2259
Phone (610) 921-9292

Other providers in Laureldale, PA

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

Sources for this page

Verify at the official NPI Registry.