Doctor Name: | DR. AMY TREMBACK-BALL |
NPI Number: | 1427213644 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, PT |
License Number: | PT-010998-L |
Business Practice Address: | 317 Rose St Peckville, PA - 184522231 |
Business Phone Number: | 5703837096 |
Business Fax Number: | |
Mailing Address: | 317 Rose St, PECKVILLE |
State: | PA |
Postal Code: | 184522231 |
Phone Number: | 5703837096 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT-010998-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |