Provider Demographics
NPI:1811713092
Name:TORNQUIST, STEPHANIE (PT, DPT, NCS)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:
Last Name:TORNQUIST
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 ABINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-5414
Mailing Address - Country:US
Mailing Address - Phone:215-962-5289
Mailing Address - Fax:
Practice Address - Street 1:618 ABINGTON AVE
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-5414
Practice Address - Country:US
Practice Address - Phone:215-962-5289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist