Provider Demographics
NPI:1871145243
Name:AGUSTIN, AARON JEAN (DPT)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:JEAN
Last Name:AGUSTIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:211 S GULPH RD STE 300
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-3101
Mailing Address - Country:US
Mailing Address - Phone:610-265-2230
Mailing Address - Fax:610-265-2240
Practice Address - Street 1:940 E HAVERFORD RD STE 200
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3845
Practice Address - Country:US
Practice Address - Phone:610-527-0178
Practice Address - Fax:610-527-5770
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT027759225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist