Doctor Name: | MR. EDWARD J O MARA |
NPI Number: | 1669549366 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | DAPT0011118 |
Business Practice Address: | 992 Old Eage School Rd Suite 919 Wayne, PA - 19087 |
Business Phone Number: | 6106872776 |
Business Fax Number: | 6106872779 |
Mailing Address: | 947 Ivycroft Rd, WAYNE |
State: | PA |
Postal Code: | 19087 |
Phone Number: | 4844328654 |
Fax Number: | 6106872779 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | DAPT0011118 |
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 |