Provider Demographics
NPI:1477804920
Name:SLOMOWITZ, CYNTHIA JO (MS, LPT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JO
Last Name:SLOMOWITZ
Suffix:
Gender:F
Credentials:MS, LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1287
Mailing Address - Country:US
Mailing Address - Phone:610-659-1409
Mailing Address - Fax:
Practice Address - Street 1:33 MAPLE LN
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1287
Practice Address - Country:US
Practice Address - Phone:610-659-1409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT05675L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics