Provider Demographics
NPI:1659307403
Name:BARTON, BRIDGET DONOVAN (PT MPT)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:DONOVAN
Last Name:BARTON
Suffix:
Gender:F
Credentials:PT MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE GLEN
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3209
Mailing Address - Country:US
Mailing Address - Phone:215-643-4113
Mailing Address - Fax:
Practice Address - Street 1:1650 LIMEKILN PIKE
Practice Address - Street 2:
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025
Practice Address - Country:US
Practice Address - Phone:215-619-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011678L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30016463OtherKEYSTONE MERCY
PA0767689000OtherINDEPENDENCE BLUE CROSS