Provider Demographics
NPI:1174555205
Name:AYERS, MAURA KRISTEN (PT)
Entity type:Individual
Prefix:MRS
First Name:MAURA
Middle Name:KRISTEN
Last Name:AYERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:MAURA
Other - Middle Name:KRISTEN
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:945 HAVERFORD RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3814
Mailing Address - Country:US
Mailing Address - Phone:610-525-1223
Mailing Address - Fax:610-525-5797
Practice Address - Street 1:945 HAVERFORD RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3814
Practice Address - Country:US
Practice Address - Phone:610-525-1223
Practice Address - Fax:610-525-5797
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013056L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist