=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942343017
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LOIS J SOCHA P.T.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/15/2007
-----------------------------------------------------
Last Update Date | 02/26/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1054 GRANDVIEW RD
-----------------------------------------------------
City | OIL CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16301-1227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-677-7742
-----------------------------------------------------
Fax | 814-677-7830
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1054 1/2 GRANDVIEW ROAD
-----------------------------------------------------
City | OIL CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-677-7742
-----------------------------------------------------
Fax | 814-677-7830
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | PT002676L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------