Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT023095 | PA |
N | 225100000X | Physical Therapist | 2305207684 | VA |
NPI | 1013251420 |
---|---|
Provider Name | Mrs. Ann K Lodovichetti |
First Address | Meadowbrook, PA 19046 |
Second Address | Meadowbrook, PA 19046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2012 |
Last Update Date | 15/01/2015 |