Provider Demographics
NPI:1992823108
Name:FILS-AIME, DANA (PTA)
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:FILS-AIME
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 1:139 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067-4910
Mailing Address - Country:US
Mailing Address - Phone:215-295-2175
Mailing Address - Fax:
Practice Address - Street 1:139 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067-4910
Practice Address - Country:US
Practice Address - Phone:215-295-2175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE001705L225200000X
NJ40QB00124600225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant