Doctor Name: | STEPHANIE NICOLE LANDIS |
NPI Number: | 1013358191 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 070.019878 |
Business Practice Address: | 3109 Green Garden Rd Aliquippa, PA - 150011069 |
Business Phone Number: | 7243788228 |
Business Fax Number: | |
Mailing Address: | 1000 Shadow Glen Ct, Apartment #111 WEXFORD |
State: | PA |
Postal Code: | 150907350 |
Phone Number: | 4128773131 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2013 |
NPI Last Update Date: | 01/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.019878 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |