| Doctor Name: | NANCY LARRALDE |
| NPI Number: | 1164767851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT005628L |
| Business Practice Address: | 209 Roberts Road United Methodist Home Wesley Village Pittston, PA - 18640 |
| Business Phone Number: | 5706552891 |
| Business Fax Number: | |
| Mailing Address: | 338 Joseph Dr, KINGSTON |
| State: | PA |
| Postal Code: | 187045634 |
| Phone Number: | 5707143049 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2012 |
| NPI Last Update Date: | 12/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT005628L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |