Individual
DIANE M RAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
250 CETRONIA ROAD, SUITE 303, ALLENTOWN, PA 18104-9168
(610) 973-6200
(610) 973-6546
Mailing address
PO BOX 848269, BOSTON, MA 02284-8269
(610) 973-1700
(610) 973-1779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011733L
PA
2251S0007X
Sports Physical Therapist
PT011733L
PA
2251X0800X
Orthopedic Physical Therapist
MD011733L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052130
ORTHONET
PA
01
—
1896402
BLUE SHIELD
PA
01
—
1896402
FIRST PRIORITY LIFE
—
01
—
50052969
CAPITAL BLUE CROSS
PA
01
—
7926898
AETNA
PA
Enumeration date
09/26/2006
Last updated
07/31/2009
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