Provider Demographics
NPI:1568603892
Name:BACHINSKY, NANCY L (MSPT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:BACHINSKY
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 BRIDGEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7550
Mailing Address - Country:US
Mailing Address - Phone:724-934-9739
Mailing Address - Fax:
Practice Address - Street 1:333 BRIDGE BROOK LANE
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7550
Practice Address - Country:US
Practice Address - Phone:724-934-9739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006777L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist