Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE012511 | PA |
NPI | 1003882580 |
---|---|
Provider Name | Ms. Erin M Donnelly |
First Address | Langhorne, PA 19047-2186 |
Second Address | Langhorne, PA 19047-2186 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 02/06/2021 |