Provider Demographics
NPI:1922295336
Name:PINWHEELS DEVELOPMENTAL AND THERAPEUTIC SERVICES, INC.
Entity Type:Organization
Organization Name:PINWHEELS DEVELOPMENTAL AND THERAPEUTIC SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:MSS, LSW
Authorized Official - Phone:484-437-7088
Mailing Address - Street 1:225 BISHOP DR
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1324
Mailing Address - Country:US
Mailing Address - Phone:484-437-7088
Mailing Address - Fax:610-459-3837
Practice Address - Street 1:225 BISHOP DR
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-1324
Practice Address - Country:US
Practice Address - Phone:484-437-7088
Practice Address - Fax:610-459-3837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-29
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124310251B00000X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management