Provider Demographics
NPI:1558986117
Name:CORTESE, MARIANNE (PT,DPT)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:CORTESE
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:MARIANNE
Other - Middle Name:
Other - Last Name:INGERSOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT,DPT
Mailing Address - Street 1:470 JOHN YOUNG WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341
Mailing Address - Country:US
Mailing Address - Phone:610-873-3076
Mailing Address - Fax:610-873-3078
Practice Address - Street 1:470 JOHN YOUNG WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:610-873-3076
Practice Address - Fax:610-873-3078
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028599225100000X
PT-6939225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist