Provider Demographics
NPI:1063533230
Name:PEDIATRIC THERAPY ASSOCIATES OF THE LEHIGH VALLEY, PC
Entity type:Organization
Organization Name:PEDIATRIC THERAPY ASSOCIATES OF THE LEHIGH VALLEY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRUZZESE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, OTR-L
Authorized Official - Phone:610-821-0123
Mailing Address - Street 1:3440 HAMILTON BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-4539
Mailing Address - Country:US
Mailing Address - Phone:610-821-0123
Mailing Address - Fax:610-821-4366
Practice Address - Street 1:3440 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-4539
Practice Address - Country:US
Practice Address - Phone:610-821-0123
Practice Address - Fax:610-821-4366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4544225XP0200X, 235Z00000X, 225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty