Provider Demographics
NPI:1538703251
Name:PANZELLA, ERIN (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:PANZELLA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2489 ROUTE 6 STE 6
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-6144
Mailing Address - Country:US
Mailing Address - Phone:570-390-7900
Mailing Address - Fax:570-390-7901
Practice Address - Street 1:2489 ROUTE 6 STE 6
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428-6144
Practice Address - Country:US
Practice Address - Phone:570-390-7900
Practice Address - Fax:570-390-7901
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028186225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT028186OtherSTATE LICENSE