Provider Demographics
NPI:1194979187
Name:ABRAHAMSEN, BETTY ANNE (PT)
Entity type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:ANNE
Last Name:ABRAHAMSEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:BETTY
Other - Middle Name:ANNE
Other - Last Name:FOLGER-ABRAHAMSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:35 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN VALLEYS
Mailing Address - State:PA
Mailing Address - Zip Code:17360-9613
Mailing Address - Country:US
Mailing Address - Phone:717-428-1633
Mailing Address - Fax:
Practice Address - Street 1:2400 KINGSTON CT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3650
Practice Address - Country:US
Practice Address - Phone:717-755-8811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001881E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist