Provider Demographics
NPI:1548219736
Name:MCCASLIN, DESIREE NICOLE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:DESIREE
Middle Name:NICOLE
Last Name:MCCASLIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:NICOLE
Other - Last Name:YUHASZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:175 W. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062
Mailing Address - Country:US
Mailing Address - Phone:610-966-6773
Mailing Address - Fax:610-966-1494
Practice Address - Street 1:175 W. MAIN ST.
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062
Practice Address - Country:US
Practice Address - Phone:610-966-6773
Practice Address - Fax:610-966-1494
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist