Provider Demographics
NPI:1831143544
Name:HUTCHINSON, DEAN (PT)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4513
Mailing Address - Country:US
Mailing Address - Phone:610-859-8850
Mailing Address - Fax:610-859-7876
Practice Address - Street 1:605 GLEN AVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1125
Practice Address - Country:US
Practice Address - Phone:856-335-5060
Practice Address - Fax:856-793-9392
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001740225100000X
PAPT011834L225100000X
NJ40QA00789400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000000237564OtherAMERICHOICE
0792823000OtherIBC
P00692865OtherMEDICARE RR
PA007603590-0002Medicaid
DE1831143544OtherDPCI
PA30051352OtherKEYSTONE MERCY
879642OtherHIGHMARK
PA30051352OtherKEYSTONE MERCY
879642OtherHIGHMARK