Provider Demographics
NPI:1679981914
Name:TOMASETTI, LOUIS CHARLES III (DPT)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:CHARLES
Last Name:TOMASETTI
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:825 OLD LANCASTER RD
Mailing Address - Street 2:140
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3231
Mailing Address - Country:US
Mailing Address - Phone:610-672-1163
Mailing Address - Fax:610-520-2074
Practice Address - Street 1:825 OLD LANCASTER RD
Practice Address - Street 2:140
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3231
Practice Address - Country:US
Practice Address - Phone:610-672-1163
Practice Address - Fax:610-520-2074
Is Sole Proprietor?:No
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT023659225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist