Provider Demographics
NPI:1205316015
Name:WARD, BRYNN MARIE (DPT)
Entity type:Individual
Prefix:MRS
First Name:BRYNN
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:BRYNN
Other - Middle Name:MARIE
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1224 W CHESTER PIKE APT B16
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5690
Mailing Address - Country:US
Mailing Address - Phone:724-831-9699
Mailing Address - Fax:
Practice Address - Street 1:390 WATERLOO BLVD STE 220
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2624
Practice Address - Country:US
Practice Address - Phone:484-875-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist