Individual
DORA GODNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
66 S COURTLAND ST, # 101, EAST STROUDSBURG, PA 18301-2827
(570) 420-0606
(570) 420-0646
Mailing address
66 S COURTLAND ST, # 101, EAST STROUDSBURG, PA 18301-2827
(570) 420-0606
(570) 420-0646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01196200
NJ
225100000X
Physical Therapist
Primary
PT015221
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001306674
HIGHMARK BCBS
PA
01
—
12314121
MULTIPLAN
PA
01
—
822475
FIRST PRIORITY HEALTH
PA
Enumeration date
11/13/2006
Last updated
03/09/2017
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