Doctor Name: | MS. DONNA LYNN POLICELLI |
NPI Number: | 1639390784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT001908E |
Business Practice Address: | 4227 Manor Dr. Stroudsburg, PA - 18360 |
Business Phone Number: | 5709924172 |
Business Fax Number: | 5704040901 |
Mailing Address: | 182 Washington Blvd., BANGOR |
State: | PA |
Postal Code: | 180132742 |
Phone Number: | 6105880876 |
Fax Number: | 6105880771 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT001908E |
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 |