Basic Information
| Provider Information | |||||||||
| NPI: | 1942401369 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POIRIER | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 245 E CHESTNUT ST | ||||||||
| Address2: | |||||||||
| City: | COATESVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193203232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104667060 | ||||||||
| FaxNumber: | 6104667069 | ||||||||
| Practice Location | |||||||||
| Address1: | 245 E CHESTNUT ST | ||||||||
| Address2: | |||||||||
| City: | COATESVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193203232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104667060 | ||||||||
| FaxNumber: | 6104667069 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT002210E | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.