Provider Demographics
NPI:1174918379
Name:FELISA V READ, PT, LLC
Entity type:Organization
Organization Name:FELISA V READ, PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:FELISA
Authorized Official - Middle Name:V
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:814-823-6440
Mailing Address - Street 1:8217 WEST LAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:PA
Mailing Address - Zip Code:16415
Mailing Address - Country:US
Mailing Address - Phone:814-823-6440
Mailing Address - Fax:
Practice Address - Street 1:8217 W LAKE RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:PA
Practice Address - Zip Code:16415-1305
Practice Address - Country:US
Practice Address - Phone:814-823-6440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014022L252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency