Provider Demographics
NPI:1801910419
Name:BENDITT, THERESA MARIE (PT)
Entity type:Individual
Prefix:MS
First Name:THERESA
Middle Name:MARIE
Last Name:BENDITT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:700 AVONDALE RD
Mailing Address - Street 2:UNIT 7 I
Mailing Address - City:WALLINGFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6656
Mailing Address - Country:US
Mailing Address - Phone:610-876-3691
Mailing Address - Fax:610-876-3691
Practice Address - Street 1:11 MARTINS RUN
Practice Address - Street 2:REHAB DEPT.
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-1057
Practice Address - Country:US
Practice Address - Phone:610-353-7660
Practice Address - Fax:610-353-9160
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT003833L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist