Jodi Lynne Lentz
Individual provider Active NPI Physical Therapy Assistant · Cornwall, PA
NPI 1124292073 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1124292073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- TE000144L (PA)
- Practice address
- 1 Boyd Street
Cornwall, PA 17016 - Phone
- (717) 273-2647
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE000144L | PA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | TE000144L | PA | Yes |
Addresses
Primary practice location
1 Boyd Street
Cornwall, PA 17016
Mailing address
437 Rexmont Rd
Lebanon, PA 17042-9772
Other providers in Cornwall, PA
- Jennifer Jo Burkholder
- Cornwall Manor
- Andrea Lynn Levan
- Jessica Miller Sherk
- Jolene Michelle Skias
- T. W. Ponessa and Associates Counseling Services, Inc.
- Chelsea Jo Wenrich
All providers in Cornwall, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.