Basic Information
Provider Information
NPI: 1326601584
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DRUMHELLER
FirstName: GARRETT
MiddleName: G
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Credential:  
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Mailing Information
Address1: 3809 W CHESTER PIKE STE 150
Address2:  
City: NEWTOWN SQUARE
State: PA
PostalCode: 190730259
CountryCode: US
TelephoneNumber: 6103595640
FaxNumber: 6103591519
Practice Location
Address1: 119 E UWCHLAN AVE STE 201
Address2:  
City: EXTON
State: PA
PostalCode: 193411293
CountryCode: US
TelephoneNumber: 6105578182
FaxNumber: 6105942014
Other Information
ProviderEnumerationDate: 04/15/2019
LastUpdateDate: 02/23/2021
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate: 02/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2251X0800XPT027480PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic

No ID Information.


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