Rony Kerwin Charles, PTA

Individual provider Active NPI Physical Therapy Assistant · Wyncote, PA

NPI 1992938484 · NPPES record last updated Aug 31, 2009

Key facts

NPI
1992938484
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
TEI000926 (PA)
Practice address
1245 Church Rd
Wyncote, PA 19095-1800
Phone
(215) 884-9990
NPI assigned
Aug 31, 2009
Sex
Male
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
TEI000926PAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI000926 PA Yes

Addresses

Primary practice location

1245 Church Rd
Wyncote, PA 19095-1800

Mailing address

375 Locust Rd
Glenside, PA 19038-3016
Phone (215) 593-6876

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.