Carol D. Allen

Individual provider Active NPI Physical Therapist · Towanda, PA

NPI 1750422960 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1750422960
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT003414L (PA)
Practice address
1 Hospital Dr
Towanda, PA 18848-9710
Phone
(570) 265-2191
Fax
(570) 268-2379
NPI assigned
Feb 9, 2007
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

LicenseStateTypeSpecialty
PT003414LPAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003414L PA Yes

Addresses

Primary practice location

1 Hospital Dr
Towanda, PA 18848-9710

Mailing address

1 Hospital Dr
Towanda, PA 18848-9710
Phone (570) 265-2191

Other identifiers

IdentifierTypeStateIssuer
PT003414LOtherPATHERAPY LICENSE NUMBER

Other providers in Towanda, PA

All providers in Towanda, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.