Provider Demographics
NPI:1447548250
Name:BARTOSZEK, LONNI A (PT)
Entity type:Individual
Prefix:
First Name:LONNI
Middle Name:A
Last Name:BARTOSZEK
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 1:6 CRIMSON DR
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1834
Mailing Address - Country:US
Mailing Address - Phone:570-765-3758
Mailing Address - Fax:
Practice Address - Street 1:1510 DEKALB PIKE
Practice Address - Street 2:STORE 2
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3300
Practice Address - Country:US
Practice Address - Phone:610-279-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-021414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist