Organization
PRANA FUNCTIONAL MANUAL THERAPY, LLC
Active
Other names
Prana Physical Therapy,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MARIE COX CFMT, MSPT (OWNER, PHYSICAL THERAPIST)
(717) 390-4822
Entity
Organization
Contact information
Practice address
617 N PRINCE ST, LANCASTER, PA 17603-4769
(717) 390-4822
(717) 390-4825
Mailing address
617 N PRINCE ST, MAILBOX A, LANCASTER, PA 17603-4769
(717) 390-4822
(717) 390-4825
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT017185
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128263160001
—
PA
01
—
1646932
HIGHMARK BLUE SHIELD
PA
01
—
181523
MEDICARE PTAN
PA
01
—
1949525
HIGHMARK BLUE SHIELD
PA
01
—
20080890
AMERIHEALTH MERCY
PA
01
—
20088797
AMERIHEALTH MERCY
PA
01
—
50081775
CAPITAL BLUE CROSS PIN
PA
01
—
50093252
CAPITAL BLUE CROSS
PA
Enumeration date
05/19/2010
Last updated
06/29/2016
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