Doctor Name: | MARY ANN AVILES |
NPI Number: | 1275816399 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT021578 |
Business Practice Address: | 857 W. Walnut Street Coal Township, PA - 178661517 |
Business Phone Number: | 2157711788 |
Business Fax Number: | |
Mailing Address: | 2501 Maryland Road, B6 WILLOW GROVE |
State: | PA |
Postal Code: | 190901850 |
Phone Number: | 2157711788 |
Fax Number: | |
NPI Enumeration Date: | 09/25/2011 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT021578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |