Provider Demographics
NPI:1942847959
Name:THOMAS, NEILA JEANNE (DPT)
Entity Type:Individual
Prefix:MISS
First Name:NEILA
Middle Name:JEANNE
Last Name:THOMAS
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 1:117 W WELLINGTON ALY
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-6201
Mailing Address - Country:US
Mailing Address - Phone:724-995-8815
Mailing Address - Fax:724-441-4010
Practice Address - Street 1:117 W WELLINGTON ALY
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-6201
Practice Address - Country:US
Practice Address - Phone:724-995-8815
Practice Address - Fax:724-441-4010
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-09
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028526225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist