Provider Demographics
NPI:1760607337
Name:CAREY, COLLEEN DOODY (PT)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:DOODY
Last Name:CAREY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1104
Mailing Address - Country:US
Mailing Address - Phone:215-646-5219
Mailing Address - Fax:215-793-0234
Practice Address - Street 1:602 S BETHLEHEM PIKE
Practice Address - Street 2:SUITE A 2
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5800
Practice Address - Country:US
Practice Address - Phone:215-643-7884
Practice Address - Fax:215-793-0234
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001832E2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA569734OtherBCBS PROVIDER #