Deidra Scanlon

Physical Therapy Assistant · Scranton, PA

Individual Active NPI

NPI number 1669803516

Practice location

100 Lynwood Ave
Scranton, PA 18505-2868
Phone
(570) 346-7381

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NPI record

NPI
1669803516
Entity type
Individual (Type 1)
Enumeration date
December 3, 2013
Last updated
December 3, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X TEI003626 PA

About Deidra Scanlon

Deidra Scanlon is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 100 Lynwood Ave, Scranton, PA 18505-2868. The NPI number 1669803516 was assigned on December 3, 2013 and the record was last updated on December 3, 2013.

Deidra Scanlon lists a license in the registry: #TEI003626 (PA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Deidra Scanlon?

The NPI number is 1669803516.

What is the phone number of Deidra Scanlon?

The phone number listed for the practice location is (570) 346-7381.

Where is Deidra Scanlon located?

100 Lynwood Ave, Scranton, PA 18505-2868.

What is the taxonomy code for Deidra Scanlon?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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