Provider Demographics
NPI:1225288715
Name:PALLAY, LINDA L (PT,)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:PALLAY
Suffix:
Gender:F
Credentials:PT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2089 E. HIGH STREET
Mailing Address - Street 2:SUITE A
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3269
Mailing Address - Country:US
Mailing Address - Phone:484-624-5594
Mailing Address - Fax:484-644-3933
Practice Address - Street 1:2089 E. HIGH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464
Practice Address - Country:US
Practice Address - Phone:484-624-5594
Practice Address - Fax:484-644-3933
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2019-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005950L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic