Basic Information
| Provider Information | |||||||||
| NPI: | 1144513698 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARRONDO | ||||||||
| FirstName: | ANITA | ||||||||
| MiddleName: | S. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 N 4TH ST | ||||||||
| Address2: | |||||||||
| City: | EMMAUS | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180492714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456151585 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1040 S CEDAR CREST BLVD | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181035400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108219135 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2011 | ||||||||
| LastUpdateDate: | 10/24/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 033393-1 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.