Provider Demographics
NPI:1053562769
Name:SCHWIND, DENISE ELAINE (PTA)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ELAINE
Last Name:SCHWIND
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:PO BOX 418
Mailing Address - Street 2:419 THOMAS ST.
Mailing Address - City:ALBURTIS
Mailing Address - State:PA
Mailing Address - Zip Code:18011-0418
Mailing Address - Country:US
Mailing Address - Phone:610-966-8553
Mailing Address - Fax:
Practice Address - Street 1:305 CHERRY ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-1803
Practice Address - Country:US
Practice Address - Phone:800-974-6383
Practice Address - Fax:800-974-4241
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-01
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE007210225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant