Provider Demographics
NPI:1558141770
Name:LOU PT
Entity Type:Organization
Organization Name:LOU PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:DIGIOVINE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-963-3690
Mailing Address - Street 1:PO BOX 241
Mailing Address - Street 2:
Mailing Address - City:POTTERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07979-0241
Mailing Address - Country:US
Mailing Address - Phone:908-963-3690
Mailing Address - Fax:
Practice Address - Street 1:1386 US HIGHWAY 22 STE 10
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NJ
Practice Address - Zip Code:08833-2205
Practice Address - Country:US
Practice Address - Phone:908-963-3690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy