| Doctor Name: | KELLY SUSAN FORTNER |
| NPI Number: | 1053552158 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 40QA01309100 |
| Business Practice Address: | 2895 Hamilton Blvd Suite 105 Allentown, PA - 181046172 |
| Business Phone Number: | 6108413555 |
| Business Fax Number: | 6108413558 |
| Mailing Address: | 35 E Uwchlan Ave, Suite 330 EXTON |
| State: | PA |
| Postal Code: | 193411259 |
| Phone Number: | 6108413555 |
| Fax Number: | 6108413558 |
| NPI Enumeration Date: | 03/19/2009 |
| NPI Last Update Date: | 11/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01309100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |