Provider Demographics
NPI:1184047755
Name:BABELONIA, ERNIE (PT)
Entity type:Individual
Prefix:
First Name:ERNIE
Middle Name:
Last Name:BABELONIA
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 1:5388 ROSEDALE LN
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9079
Mailing Address - Country:US
Mailing Address - Phone:484-894-6516
Mailing Address - Fax:
Practice Address - Street 1:5388 ROSEDALE LN
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9079
Practice Address - Country:US
Practice Address - Phone:484-894-6516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-01
Last Update Date:2014-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012023L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist