Individual
ELIZABETH CATHERINE STEPHENS DATORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT DPT ATC
Contact information
Practice address
625 COMMUNITY WAY, LANCASTER, PA 17603-2301
(717) 393-0425
(717) 735-6009
Mailing address
665 MOUNT GRETNA RD, ELIZABETHTOWN, PA 17022-1330
(717) 361-6142
(717) 361-6142
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT017727
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013950620001
17
PA
Enumeration date
03/08/2007
Last updated
10/09/2015
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