Provider Demographics
NPI:1720873169
Name:FENN, ALLISON RENEE
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RENEE
Last Name:FENN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-5357
Mailing Address - Country:US
Mailing Address - Phone:267-394-1644
Mailing Address - Fax:
Practice Address - Street 1:555 BUSINESS CENTER DR STE 100
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-3434
Practice Address - Country:US
Practice Address - Phone:215-293-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist