Buckley, Anita A

Buckley, Anita A is an individual health care provider with primary practice located at 255 Great Valley Pkwy Ste 140, Malvern PA 19355-1300. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Buckley, Anita A can be contacted via phone (610) 981-6411.

Contact Information

Primary practice address
255 Great Valley Pkwy Ste 140 Malvern PA 19355-1300
Phone: (610) 981-6411
Fax: (610) 981-6402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 40QA01101900 New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-020453 Pennsylvania

Profile Details

NPI number 1053427948
LBN Legal business name Buckley, Anita A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated May 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053427948 NPPES
Pennsylvania Other 1750739 PA BLUE SHIELD
Pennsylvania MEDICAID 102567448-0001 PA BLUE SHIELD

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