Basic Information
| Provider Information | |||||||||
| NPI: | 1164911657 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NORTON | ||||||||
| FirstName: | TROY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 MOORE RD | ||||||||
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| City: | COATESVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193202011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104667833 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1118 W BALTIMORE PIKE | ||||||||
| Address2: | |||||||||
| City: | MEDIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190636104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8003219999 | ||||||||
| FaxNumber: | 6104806045 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2018 | ||||||||
| LastUpdateDate: | 05/09/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT006094L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.