Doctor Name: | MISS MARTINA DIANE KONDAS |
NPI Number: | 1558586537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT016467 |
Business Practice Address: | 1294 E Main St Clarion, PA - 162141212 |
Business Phone Number: | 8142978093 |
Business Fax Number: | 8142978176 |
Mailing Address: | 430 Innovation Drive, BLAIRSVILLE |
State: | PA |
Postal Code: | 157178096 |
Phone Number: | 7243434060 |
Fax Number: | 7243434069 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 01/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT016467 |
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 |