Provider Demographics
NPI:1336428366
Name:PEFFER, AARON M
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:PEFFER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MACDADE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:PA
Mailing Address - Zip Code:19033-3203
Mailing Address - Country:US
Mailing Address - Phone:610-586-7000
Mailing Address - Fax:610-586-7004
Practice Address - Street 1:501 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-3203
Practice Address - Country:US
Practice Address - Phone:610-586-7000
Practice Address - Fax:610-586-7004
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021560225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist