Provider Demographics
NPI:1891941191
Name:RABADI, LIANA (DPT)
Entity Type:Individual
Prefix:DR
First Name:LIANA
Middle Name:
Last Name:RABADI
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 1:430 INNOVATION DR
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15717-8096
Mailing Address - Country:US
Mailing Address - Phone:724-343-4406
Mailing Address - Fax:724-343-4069
Practice Address - Street 1:3132 WILLIAM PENN HIGHWAY
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5216
Practice Address - Country:US
Practice Address - Phone:610-252-6967
Practice Address - Fax:610-252-6759
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01288000225100000X
PAPT024966225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396749Medicare PIN