Provider Demographics
NPI:1386860245
Name:DELSIGNORE, BETH (MSPT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:DELSIGNORE
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 E HANOVER ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1433
Mailing Address - Country:US
Mailing Address - Phone:215-504-0979
Mailing Address - Fax:
Practice Address - Street 1:10 E HANOVER ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1433
Practice Address - Country:US
Practice Address - Phone:215-504-0979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-008281-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist