Provider Demographics
NPI:1346225893
Name:BRANDT, LORI B (PT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:B
Last Name:BRANDT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:146 ORCHARD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1712
Mailing Address - Country:US
Mailing Address - Phone:412-279-3392
Mailing Address - Fax:
Practice Address - Street 1:650 WASHINGTON RD
Practice Address - Street 2:ST 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2702
Practice Address - Country:US
Practice Address - Phone:412-561-2727
Practice Address - Fax:412-561-1044
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT013721225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist