Provider Demographics
NPI:1619386380
Name:PARKER, ANN MARIE (PT)
Entity Type:Individual
Prefix:
First Name:ANN MARIE
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANN MARIE
Other - Middle Name:
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:100 ALMSHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1108
Mailing Address - Country:US
Mailing Address - Phone:215-357-2000
Mailing Address - Fax:215-357-8499
Practice Address - Street 1:100 ALMSHOUSE RD
Practice Address - Street 2:
Practice Address - City:RICHBORO
Practice Address - State:PA
Practice Address - Zip Code:18954-1108
Practice Address - Country:US
Practice Address - Phone:215-357-2000
Practice Address - Fax:215-357-8499
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023795225100000X
NJ40QA01582700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist