Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC007446L | PA |
NPI | 1194946715 |
---|---|
Provider Name | Dr. Lori Sinisgalli |
First Address | Brodheadsville, PA 18322-0293 |
Second Address | Brodheadsville, PA 18322-7800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 04/01/2019 |