Heather Lynn Blatt, PTA

Individual provider Active NPI Physical Therapy Assistant · Robesonia, PA

NPI 1760757181 · NPPES record last updated Mar 19, 2012

Key facts

NPI
1760757181
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI001060 (PA)
Practice address
1011 W Penn Ave
Robesonia, PA 19551-9550
Phone
(610) 589-2263
Fax
(610) 589-2232
NPI assigned
Mar 19, 2012
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
TEI001060PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI001060 PA Yes

Addresses

Primary practice location

1011 W Penn Ave
Robesonia, PA 19551-9550

Mailing address

97 Davis Bridge Rd
Bernville, PA 19506-8245
Phone (484) 818-9396

Other names

  • Heather Lynn Burns Former name

Other providers in Robesonia, PA

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

Sources for this page

Verify at the official NPI Registry.