Annie Balmonte

Individual provider Active NPI Physical Therapy Assistant · Coatesville, PA

NPI 1962958181 · NPPES record last updated Aug 28, 2016

Key facts

NPI
1962958181
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TE010957 (PA)
Practice address
1325 Walnut St.
Coatesville, PA 19320
Phone
(610) 384-6408
NPI assigned
Aug 28, 2016
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
TE010957PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE010957 PA Yes

Addresses

Primary practice location

1325 Walnut St.
Coatesville, PA 19320

Mailing address

1325 Walnut St
Coatesville, PA 19320-2538
Phone (610) 384-6408

Other providers in Coatesville, PA

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

Sources for this page

Verify at the official NPI Registry.