Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PA |
NPI | 1164095428 |
---|---|
Provider Name | Dr. Amy Elizabeth Kreider |
First Address | Philadelphia, PA 19122-3666 |
Second Address | Langhorne, PA 19047-1600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2021 |
Last Update Date | 22/07/2021 |