Provider Demographics
NPI:1518199280
Name:AUSTIN, ANNEMARIE E (MPT)
Entity Type:Individual
Prefix:MRS
First Name:ANNEMARIE
Middle Name:E
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MRS
Other - First Name:ANNEMARIE
Other - Middle Name:E
Other - Last Name:MCCLOSKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:203 DORSET RD
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1620
Mailing Address - Country:US
Mailing Address - Phone:610-536-6005
Mailing Address - Fax:
Practice Address - Street 1:203 DORSET RD
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1620
Practice Address - Country:US
Practice Address - Phone:610-536-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011375L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist