Provider Demographics
NPI:1518157692
Name:WARWICK, SANDRA KATHLEEN (DPT)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:KATHLEEN
Last Name:WARWICK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:KATHLEEN
Other - Last Name:LENNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:506 CARMARTHEN DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1409
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:461 CANN RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-1715
Practice Address - Country:US
Practice Address - Phone:610-692-6362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018051225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist