Provider Demographics
NPI:1740763440
Name:WORTNER, ANNA (DPT)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:WORTNER
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 1:203 ADAMS POINTE BLVD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-4631
Mailing Address - Country:US
Mailing Address - Phone:914-299-8274
Mailing Address - Fax:
Practice Address - Street 1:837 EVANS CITY RD STE 101
Practice Address - Street 2:
Practice Address - City:RENFREW
Practice Address - State:PA
Practice Address - Zip Code:16053-9213
Practice Address - Country:US
Practice Address - Phone:724-486-3077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0270892251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics