Provider Demographics
NPI:1750019550
Name:WALDY, PAIGE (PT, DPT)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:WALDY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3908 COVENTRYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-8910
Mailing Address - Country:US
Mailing Address - Phone:484-947-4218
Mailing Address - Fax:
Practice Address - Street 1:102 S PINE ST
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-9241
Practice Address - Country:US
Practice Address - Phone:610-901-4010
Practice Address - Fax:610-901-4404
Is Sole Proprietor?:No
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist