Provider Demographics
NPI:1548742752
Name:GIANNONE, AUDREY ANN (PT)
Entity type:Individual
Prefix:
First Name:AUDREY
Middle Name:ANN
Last Name:GIANNONE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1691 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-1302
Mailing Address - Country:US
Mailing Address - Phone:267-308-5330
Mailing Address - Fax:610-359-1519
Practice Address - Street 1:536 N LEWIS RD
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:PA
Practice Address - Zip Code:19468-1119
Practice Address - Country:US
Practice Address - Phone:484-938-5403
Practice Address - Fax:484-938-5164
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027016225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist