Provider Demographics
NPI:1275651366
Name:BELFANTI, DAVID JOHN (LPT)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOHN
Last Name:BELFANTI
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 FRINK ST
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18504-1002
Mailing Address - Country:US
Mailing Address - Phone:570-969-6198
Mailing Address - Fax:
Practice Address - Street 1:401 PENN AVE
Practice Address - Street 2:GINO MERLI VETERANS CENTER
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503
Practice Address - Country:US
Practice Address - Phone:570-961-4360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003832L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist