Provider Demographics
NPI:1164728291
Name:KESSELRING, MARIA TERESA (DPT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:TERESA
Last Name:KESSELRING
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 1:773 JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2437
Mailing Address - Country:US
Mailing Address - Phone:215-519-1304
Mailing Address - Fax:
Practice Address - Street 1:773 JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2437
Practice Address - Country:US
Practice Address - Phone:215-519-1304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016761225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist