Doctor Name: | MRS. AIMEE SLATTERY |
NPI Number: | 1043581507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MS, CSCS |
License Number: | PT021258 |
Business Practice Address: | 290 Executive Dr Unit #103 Cranberry Twp, PA - 160666436 |
Business Phone Number: | 7246124744 |
Business Fax Number: | |
Mailing Address: | 290 Executive Dr, Unit #103 CRANBERRY TWP |
State: | PA |
Postal Code: | 160666436 |
Phone Number: | 7246124744 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2012 |
NPI Last Update Date: | 01/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | PT021258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |