Provider Demographics
NPI:1386862753
Name:PIZZUTILLO, BARBARA ANN (PT,DPT,MBA)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:PIZZUTILLO
Suffix:
Gender:F
Credentials:PT,DPT,MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:926 BOWMAN AVE
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-1658
Mailing Address - Country:US
Mailing Address - Phone:610-724-3456
Mailing Address - Fax:610-667-4492
Practice Address - Street 1:926 BOWMAN AVE
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-1658
Practice Address - Country:US
Practice Address - Phone:610-667-4492
Practice Address - Fax:610-667-4492
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000974E2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA536956OtherBLUE CROSS BLUE SHEILD