Doctor Name: | DR. LAUREN RENE WARMATH |
NPI Number: | 1548629074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT022590 |
Business Practice Address: | 709 Rouse Ave Youngsville, PA - 163711605 |
Business Phone Number: | 8145636750 |
Business Fax Number: | |
Mailing Address: | 709 Rouse Ave, YOUNGSVILLE |
State: | PA |
Postal Code: | 163711605 |
Phone Number: | 8145636750 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2016 |
NPI Last Update Date: | 02/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT022590 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |