Provider Demographics
NPI:1366479313
Name:GEDDES, RITA FRANCES (PT)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:FRANCES
Last Name:GEDDES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:FRANCES
Other - Last Name:REISIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1270 JASMINE WAY
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-2385
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 VETERANS HIGHWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056
Practice Address - Country:US
Practice Address - Phone:215-752-4553
Practice Address - Fax:215-752-0703
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006267L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist