Basic Information
| Provider Information | |||||||||
| NPI: | 1649210402 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRISKILL | ||||||||
| FirstName: | GEORGETTE | ||||||||
| MiddleName: | IRENE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 412 CREAMERY WAY | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | EXTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193412551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848750200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 412 CREAMERY WAY | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | EXTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193412551 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4848750200 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 12/16/2014 | ||||||||
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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 | 2251N0400X | 019196 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology |
No ID Information.