Healthcare Provider Details

I. General information

NPI: 1477002566
Provider Name (Legal Business Name): DAVID LAPERA OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2016
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WASHINGTON ST
HUNTINGDON PA
16652-1722
US

IV. Provider business mailing address

50 PAYSAN LN
MAGNOLIA DE
19962-3692
US

V. Phone/Fax

Practice location:
  • Phone: 814-506-8212
  • Fax:
Mailing address:
  • Phone: 267-982-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberU1-0001617
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: