Provider Demographics
NPI:1447364252
Name:OSTROW, DAVID M (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:OSTROW
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CREEKS BEND DR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1186
Mailing Address - Country:US
Mailing Address - Phone:610-594-0873
Mailing Address - Fax:610-594-2231
Practice Address - Street 1:325 GORDON DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1201
Practice Address - Country:US
Practice Address - Phone:610-594-0873
Practice Address - Fax:610-594-2231
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006257L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA127183GCDMedicare ID - Type Unspecified