Provider Demographics
NPI:1275805442
Name:PALOMBARO, KERSTIN M (MS, PT)
Entity Type:Individual
Prefix:DR
First Name:KERSTIN
Middle Name:M
Last Name:PALOMBARO
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:1 UNIVERSITY PL
Mailing Address - Street 2:COTTEE HALL 122
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-5700
Mailing Address - Country:US
Mailing Address - Phone:610-499-4270
Mailing Address - Fax:610-499-1231
Practice Address - Street 1:2129 PROVIDENCE AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-5506
Practice Address - Country:US
Practice Address - Phone:610-499-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT009956L225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics