Provider Demographics
NPI:1942343017
Name:SOCHA, LOIS J (PT)
Entity Type:Individual
Prefix:
First Name:LOIS
Middle Name:J
Last Name:SOCHA
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 1:1054 1/2 GRANDVIEW ROAD
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301
Mailing Address - Country:US
Mailing Address - Phone:814-677-7742
Mailing Address - Fax:814-677-7830
Practice Address - Street 1:1054 GRANDVIEW RD
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-1227
Practice Address - Country:US
Practice Address - Phone:814-677-7742
Practice Address - Fax:814-677-7830
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002676L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOI756379Medicare ID - Type Unspecified