Brittany Lynde Dorenbush, PTA

Individual provider Active NPI Physical Therapy Assistant · Wyncote, PA

NPI 1851666564 · NPPES record last updated Mar 13, 2012

Key facts

NPI
1851666564
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI002659 (PA)
Practice address
8480 Limekiln Pike
Apt 1025
Wyncote, PA 19095-2801
Phone
(215) 260-3130
NPI assigned
Mar 13, 2012
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
TEI002659PAMDPhysical Therapy Assistant

Networks

  • Freedom Health HMO Network

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI002659 PA Yes

Addresses

Primary practice location

8480 Limekiln Pike
Apt 1025
Wyncote, PA 19095-2801

Mailing address

8480 Limelikn Pike
Apt 1025
Wyncote, PA 19095-2801
Phone (215) 260-3130

Other providers in Wyncote, PA

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

Sources for this page

Verify at the official NPI Registry.