Doctor Name: | BRIANNE PETERSON LATTANZI |
NPI Number: | 1669738266 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT021931 |
Business Practice Address: | 2813 Industrial Park Rd Suite 3 Mifflintown, PA - 170599078 |
Business Phone Number: | 7174366042 |
Business Fax Number: | 7174366264 |
Mailing Address: | 75 Evelyn Dr, MILLERSBURG |
State: | PA |
Postal Code: | 170611258 |
Phone Number: | 7176924708 |
Fax Number: | 7176924715 |
NPI Enumeration Date: | 04/09/2012 |
NPI Last Update Date: | 09/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT021931 |
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 |