Andrea Marie Fishlock, PT
Individual provider Active NPI Physical Therapist · Barto, PA
NPI 1881925253 · NPPES record last updated Dec 23, 2013
Key facts
- NPI
- 1881925253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT007363L (PA)
- Practice address
- 1311 Route 100
Lower Level
Barto, PA 19504-8724 - Phone
- (610) 845-5000
- Fax
- (610) 845-5011
- NPI assigned
- Jan 24, 2010
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007363L | PA | Yes |
Addresses
Primary practice location
1311 Route 100
Lower Level
Barto, PA 19504-8724
Mailing address
1311 Route 100
Lower Level
Barto, PA 19504-8724
Phone (610) 845-5000
Other names
- Andrea Marie Weidner
Other providers in Barto, PA
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- Eileen Rebecca Davis
- Andrea M Elinich
- Susan E. Hoffman
- Hannah Iovacchini
- Edward Charles Lomire
- Meadowloft, LLC
- Mikayla Moyer
All providers in Barto, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2013. 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.