Individual
THERESA A BISTLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
901 W ASHLAND AVE, GLENOLDEN, PA 19036-1101
(610) 461-6522
Mailing address
901 W ASHLAND AVE, GLENOLDEN, PA 19036-1101
(610) 461-6522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE012170
PA
225700000X
Massage Therapist
MSG015380
PA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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