Theresa A Bistline, PTA

NPI #1386476232 in Glenolden, Pennsylvania

Provider Information

NPI Number: 1386476232
Entity Type: Individual
Name: Theresa A Bistline, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 19, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 901 W ASHLAND AVE
City: Glenolden
State: Pennsylvania
ZIP Code: 19036-1101
Phone: (610) 461-6522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X
Physical Therapy Assistant	225200000X	Primary

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