Individual
DEVON ANASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3537 W CHESTER PIKE, NEWTOWN SQUARE, PA 19073-3701
(610) 723-7771
(610) 723-7772
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025860
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT025860
STATE LICENSE
PA
Enumeration date
04/05/2017
Last updated
11/17/2022
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