Provider Demographics
NPI:1952526253
Name:ERTHAL, JEANNE DARCY (PT, MSPT, DPT)
Entity Type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:DARCY
Last Name:ERTHAL
Suffix:
Gender:F
Credentials:PT, MSPT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BRADFORD CIR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2836
Mailing Address - Country:US
Mailing Address - Phone:610-220-0942
Mailing Address - Fax:
Practice Address - Street 1:5 BRADFORD CIR
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-2836
Practice Address - Country:US
Practice Address - Phone:610-220-0942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012189L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist