Doctor Name: | PETER JAMES POTENA |
NPI Number: | 1538577820 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT023681 |
Business Practice Address: | 290 E Pomfret St Carlisle, PA - 170132579 |
Business Phone Number: | 7172450400 |
Business Fax Number: | 7172435688 |
Mailing Address: | 290 E Pomfret St, CARLISLE |
State: | PA |
Postal Code: | 170132579 |
Phone Number: | 7172450400 |
Fax Number: | 7172435688 |
NPI Enumeration Date: | 07/30/2014 |
NPI Last Update Date: | 05/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT023681 |
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 |