Provider Demographics
NPI:1598729543
Name:FRITCH, NANCY J (PT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:J
Last Name:FRITCH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 WARRIOR RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-5026
Mailing Address - Country:US
Mailing Address - Phone:215-545-0941
Mailing Address - Fax:
Practice Address - Street 1:57 W EAGLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-2234
Practice Address - Country:US
Practice Address - Phone:610-789-9887
Practice Address - Fax:610-789-9883
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012785L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0444375000OtherKEYSTONE PIN
7216024OtherAETNA PPO PIN
1150586OtherAETNA HMO PIN
0444375000OtherPERSONAL CHOICE PIN
674942OtherBS/BC PIN
7216024OtherAETNA PPO PIN