Provider Demographics
NPI:1619383189
Name:KELLAR, BARBARA (DPT)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:KELLAR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 MARIAN CIR
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-2700
Mailing Address - Country:US
Mailing Address - Phone:267-252-0117
Mailing Address - Fax:
Practice Address - Street 1:15 MARIAN CIR
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-2700
Practice Address - Country:US
Practice Address - Phone:267-252-0117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-06
Last Update Date:2014-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT998794L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist