Provider Demographics
NPI:1639390784
Name:PASSNO, DONNA LYNN (PT)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:LYNN
Last Name:PASSNO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4011 GREEN POND RD.
Mailing Address - Street 2:GENESIS REHAB SERVICES
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020
Mailing Address - Country:US
Mailing Address - Phone:610-867-2515
Mailing Address - Fax:610-867-2613
Practice Address - Street 1:4011 GREEN POND RD.
Practice Address - Street 2:GENESIS REHAB SERVICES
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020
Practice Address - Country:US
Practice Address - Phone:610-867-2515
Practice Address - Fax:610-867-2613
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001908E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist