Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE001811L | PA |
NPI | 1013172287 |
---|---|
Provider Name | Amy Elizabeth Klaus |
First Address | Allentown, PA 18103-7401 |
Second Address | Plymouth Meeting, PA 19462-1047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2008 |
Last Update Date | 27/07/2008 |