Provider Demographics
NPI:1154686723
Name:SILLMAN, AMANDA M (DPT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:SILLMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 HESTON ST
Mailing Address - Street 2:APT. C9
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-4233
Mailing Address - Country:US
Mailing Address - Phone:215-407-5337
Mailing Address - Fax:
Practice Address - Street 1:1107 E ERIE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-5423
Practice Address - Country:US
Practice Address - Phone:215-743-3699
Practice Address - Fax:215-743-5045
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-022048225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist