Provider Demographics
NPI:1194945535
Name:REIFF, PAMELA (PTA)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:REIFF
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RED HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18076-1404
Mailing Address - Country:US
Mailing Address - Phone:215-679-0337
Mailing Address - Fax:
Practice Address - Street 1:GENERAL HEALTHCARE RESOURCES, INC.
Practice Address - Street 2:2250 HICKORY ROAD, SUITE 240
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462
Practice Address - Country:US
Practice Address - Phone:610-834-1122
Practice Address - Fax:610-834-7525
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE002661-L225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant