Doctor Name: | MRS. LORIE LYNN COOLE-FOUST |
NPI Number: | 1194078212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 4148218L |
Business Practice Address: | 1786 Wilmington Pike Glen Mills, PA - 193428122 |
Business Phone Number: | 4848416154 |
Business Fax Number: | |
Mailing Address: | 603 Woodleave Rd, BRYN MAWR |
State: | PA |
Postal Code: | 190102920 |
Phone Number: | 6104202483 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2012 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 4148218L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |