Amy E. Stanislaw, PT

Individual provider Active NPI Physical Therapist · Laureldale, PA

NPI 1760634646 · NPPES record last updated Jan 30, 2023

Key facts

NPI
1760634646
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PTO14297 (PA)
Practice address
2125 Elizabeth Ave.
Laureldale, PA 19605
Phone
(610) 921-9292
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

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
PTO14297PAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTO14297 PA Yes

Addresses

Primary practice location

2125 Elizabeth Ave.
Laureldale, PA 19605

Mailing address

326 Kindt Corner Rd.
Leesport, PA 19533-8626

Other names

  • Miss Amy E Kron Former name

Other providers in Laureldale, PA

All providers in Laureldale, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.