Distasio, Lynn Marie

Distasio, Lynn Marie is an individual health care provider with primary practice located at 1086 Route 315 , Plains PA 18702. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Distasio, Lynn Marie can be contacted via phone (570) 823-7761.

Contact Information

Primary practice address
1086 Route 315 Plains PA 18702
Phone: (570) 823-7761
Fax: (570) 822-8033
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006913L Pennsylvania

Profile Details

NPI number 1821164393
LBN Legal business name Distasio, Lynn Marie
Credentials LPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821164393 NPPES
Other 076541 FIRST PRIORITY
Other 0661771 FIRST PRIORITY
Other 442518 FIRST PRIORITY
Other 442539 FIRST PRIORITY
Other 815826 FIRST PRIORITY
Other 813831 FIRST PRIORITY
Other 397908 FIRST PRIORITY

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