Provider Demographics
NPI:1811449960
Name:FEHRLE, CYNTHIA THERESA (PT)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:THERESA
Last Name:FEHRLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1113 TREMONT DR
Mailing Address - Street 2:
Mailing Address - City:GLENOLDEN
Mailing Address - State:PA
Mailing Address - Zip Code:19036-1522
Mailing Address - Country:US
Mailing Address - Phone:610-505-3767
Mailing Address - Fax:
Practice Address - Street 1:1113 TREMONT DR
Practice Address - Street 2:
Practice Address - City:GLENOLDEN
Practice Address - State:PA
Practice Address - Zip Code:19036-1522
Practice Address - Country:US
Practice Address - Phone:610-505-3767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-25
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0229532251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics