Provider Demographics
NPI:1679738181
Name:DUFFIE, TRISHA LEIGH (PT, ATC)
Entity type:Individual
Prefix:MRS
First Name:TRISHA
Middle Name:LEIGH
Last Name:DUFFIE
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 SCARBOROUGH CT
Mailing Address - Street 2:APT 102
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3504
Mailing Address - Country:US
Mailing Address - Phone:610-505-5537
Mailing Address - Fax:
Practice Address - Street 1:200 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4512
Practice Address - Country:US
Practice Address - Phone:610-436-8620
Practice Address - Fax:610-436-9493
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012815-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist