| Doctor Name: | MARYANNE DEPUTRON |
| NPI Number: | 1629021464 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | PT009263L |
| Business Practice Address: | 1651-53 Pulaski Highway Bear, DE - 197011453 |
| Business Phone Number: | 3028341550 |
| Business Fax Number: | 3028341549 |
| Mailing Address: | 1265 Wayne Avenue, Suite 308, 119 Professional Building INDIANA |
| State: | PA |
| Postal Code: | 157013508 |
| Phone Number: | 7248018095 |
| Fax Number: | 7248018147 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT009263L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |