Provider Demographics
NPI:1003031774
Name:HERLIHEY, JAMES P (MPT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:HERLIHEY
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1515 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-1739
Mailing Address - Country:US
Mailing Address - Phone:610-429-9933
Mailing Address - Fax:484-259-0220
Practice Address - Street 1:1107 E BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-2366
Practice Address - Country:US
Practice Address - Phone:610-388-3049
Practice Address - Fax:484-259-0220
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007746L2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics