Provider Demographics
NPI:1659706091
Name:ESMONDE, HELENA ROSE (DPT)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:ROSE
Last Name:ESMONDE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HELENA
Other - Middle Name:ROSE
Other - Last Name:BOYNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 MATHER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-3032
Mailing Address - Country:US
Mailing Address - Phone:260-348-6759
Mailing Address - Fax:
Practice Address - Street 1:456 SAINT DAVIDS AVE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-4203
Practice Address - Country:US
Practice Address - Phone:484-919-5601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT017446225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist