Provider Demographics
NPI:1619693421
Name:REDDINGER, EMMA
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:REDDINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 STATE ROUTE 1025
Mailing Address - Street 2:
Mailing Address - City:NEW BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:16242-7633
Mailing Address - Country:US
Mailing Address - Phone:814-229-2670
Mailing Address - Fax:
Practice Address - Street 1:1870 BROADVIEW BLVD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-2234
Practice Address - Country:US
Practice Address - Phone:724-224-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE013013225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant