Provider Demographics
NPI:1063954022
Name:BLATT, BOBBI L (DPT)
Entity type:Individual
Prefix:MRS
First Name:BOBBI
Middle Name:L
Last Name:BLATT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 OSWEGO LN
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-7018
Mailing Address - Country:US
Mailing Address - Phone:484-824-9602
Mailing Address - Fax:
Practice Address - Street 1:32 OSWEGO LN
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-7018
Practice Address - Country:US
Practice Address - Phone:484-824-9602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012752L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist