Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT018189 | PA |
N | 2251E1200X | Ergonomics | PT018189 | PA |
N | 225XE1200X | Ergonomics | PT018189 | PA |
N | 2251N0400X | Physical Therapist - Neurology | PT018189 | PA |
N | 2251X0800X | Physical Therapist - Orthopedic | PT018189 | PA |
NPI | 1720182298 |
---|---|
Provider Name | Mrs. Marina Sperling |
First Address | Feasterville Trevose, PA 19053-6064 |
Second Address | Feasterville Trevose, PA 19053-6064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2006 |
Last Update Date | 30/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000254580 | AMERICHOICE (01) | |
102335990-0001 | (05) | PA |
1720182298 | BRAVO (01) | PA |
185955 | PABS (01) | PA |
254580 | UNISON (01) | |
2762932000 | IBC (01) | PA |
30061120 | KEYSTONE MERCY (01) | PA |
P00692886 | RAILROAD MEDICARE (01) | PA |