Provider Demographics
NPI:1891741682
Name:O'LEARY, MAUREEN G (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:G
Last Name:O'LEARY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3954
Mailing Address - Country:US
Mailing Address - Phone:610-604-4800
Mailing Address - Fax:610-604-4815
Practice Address - Street 1:891 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3954
Practice Address - Country:US
Practice Address - Phone:610-604-4800
Practice Address - Fax:610-604-4815
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006646L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist