Provider Demographics
NPI:1851484851
Name:DANDY, DANIEL J (DPT)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:DANDY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:DR
Other - First Name:DANIEL
Other - Middle Name:J
Other - Last Name:DANDY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPT
Mailing Address - Street 1:333 N MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:NEWVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17241-9730
Mailing Address - Country:US
Mailing Address - Phone:717-386-4422
Mailing Address - Fax:
Practice Address - Street 1:110 NORTH 7TH STREET
Practice Address - Street 2:CONFORTI PHYSICAL THERAPY
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043
Practice Address - Country:US
Practice Address - Phone:717-731-6094
Practice Address - Fax:717-731-6199
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002063E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA12132076OtherCAQH