Provider Demographics
NPI:1982828661
Name:ROSSI, CYNTHIA LANGE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LANGE
Last Name:ROSSI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BETSY LN
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5724
Mailing Address - Country:US
Mailing Address - Phone:215-628-0283
Mailing Address - Fax:
Practice Address - Street 1:9 BETSY LN
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5724
Practice Address - Country:US
Practice Address - Phone:215-628-0283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002977L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001932705 0002OtherMA PROMISE #