Individual
LAURIE LOUISE FAVINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
142 KIMBERLEIGH CT, EAST STROUDSBURG, PA 18301-9260
(570) 269-9907
(570) 476-6761
Mailing address
142 KIMBERLEIGH CT, EAST STROUDSBURG, PA 18301-9260
(570) 269-9907
(570) 476-6761
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT003856L
PA
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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