Provider Demographics
NPI:1114815297
Name:DILWORTH, ANNETTE EVE (LMT, CLT, CIMT, CPMT)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:EVE
Last Name:DILWORTH
Suffix:
Gender:F
Credentials:LMT, CLT, CIMT, CPMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 DELMAR AVE
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7674
Mailing Address - Country:US
Mailing Address - Phone:215-450-6023
Mailing Address - Fax:
Practice Address - Street 1:1417 DELMAR AVE
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-7674
Practice Address - Country:US
Practice Address - Phone:215-450-6023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG013868225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist