Lisa Marie Diffenbaugh in Kutztown - Pediatrics
Lisa Marie Diffenbaugh - NPI 1205991585
Lisa Marie Diffenbaugh is a Pediatrics in Kutztown, Pennsylvania. Lisa Marie Diffenbaugh practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa Marie Diffenbaugh is 1205991585. The last update date is 2014-05-23.
Lisa Marie Diffenbaugh's current location address is 322 Luella Dr, Kutztown, Pennsylvania. You can contact this provider via phone number 5705944015. The mailing address for Lisa Marie Diffenbaugh is 322 Luella Dr, Kutztown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Marie Diffenbaugh |
|---|---|
| Address | 322 Luella Dr, Kutztown, Pennsylvania |
| Phone Number | 5705944015 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MSPT |
NPI Number Detail
| NPI Number | 1205991585 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2014-05-23 |
Provider Mailing Address Detail
| Address | 322 Luella Dr |
|---|---|
| City | Kutztown |
| State | Pennsylvania (PA) |
| Post Code | 195301230 |
| Phone Number | 5705944015 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT016899 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101209274 | PA | MA |
Post Comment/ Review Below
What is the unique identifier code issued to Lisa Marie Diffenbaugh by the Centers for Medicare & Medicaid Services?
The Lisa Marie Diffenbaugh has been assigned the NPI (National Provider Identifier) 1205991585. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Marie Diffenbaugh is physically located?
The Lisa Marie Diffenbaugh is situated at the following address: 322 Luella Dr, Kutztown, PA 195301230.
What is the area of specialization for Lisa Marie Diffenbaugh, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Marie Diffenbaugh is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 2251P0200X.
When did the Lisa Marie Diffenbaugh receive its 1205991585?
The Lisa Marie Diffenbaugh was issued its 1205991585 on 2006-12-27, which is the date when the organization was assigned this unique identifier.
When was the information regarding Lisa Marie Diffenbaugh, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lisa Marie Diffenbaugh, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-05-23.
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