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NPI Code Detail

MEDICARE: ERIN ELIZABETH PANZELLA DPT

MEDICARE:   ERIN ELIZABETH PANZELLA  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT028186PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT028186OTHERPASTATE LICENSE

General Provider Information

NPI Number : 1538703251
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN ELIZABETH PANZELLA DPT
Provider Business Mailing Address
First Line : 2489 ROUTE 6 STE 6
Second Line :
City : HAWLEY
State : PA
Zip : 18428-6144
Country : US
Telephone Number : 570-390-7900
Fax Number : 570-390-7901
Provider Business Practice Location Address
First Line : 2591 ROUTE 6 STE 202
Second Line :
City : HAWLEY
State : PA
Zip : 18428-7062
Country : US
Telephone Number : 570-226-5680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2019
Last Update Date : 03/06/2026

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Directions to “ ERIN ELIZABETH PANZELLA DPT” Practice Location

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