Provider Demographics
NPI:1023149234
Name:DATORRE, ELIZABETH CATHERINE STEPHENS (MSPT DPT ATC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CATHERINE STEPHENS
Last Name:DATORRE
Suffix:
Gender:F
Credentials:MSPT DPT ATC
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Mailing Address - Street 1:665 MOUNT GRETNA RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-1330
Mailing Address - Country:US
Mailing Address - Phone:717-361-6142
Mailing Address - Fax:717-361-6142
Practice Address - Street 1:625 COMMUNITY WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2301
Practice Address - Country:US
Practice Address - Phone:717-393-0425
Practice Address - Fax:717-735-6009
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2015-10-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT0177272251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013950620001Other17