Provider Demographics
NPI:1053438937
Name:SPEARING, ELENA MCKEOGH (DPT, PCS)
Entity type:Individual
Prefix:DR
First Name:ELENA
Middle Name:MCKEOGH
Last Name:SPEARING
Suffix:
Gender:F
Credentials:DPT, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1459 STONY RD
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18974-1037
Mailing Address - Country:US
Mailing Address - Phone:267-269-6762
Mailing Address - Fax:215-491-6956
Practice Address - Street 1:1459 STONY RD
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18974-1037
Practice Address - Country:US
Practice Address - Phone:267-269-6762
Practice Address - Fax:215-491-6956
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007794L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics