Provider Demographics
NPI:1255471694
Name:SAMET, LAURIE BETH (PT)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:BETH
Last Name:SAMET
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 1:302 E BROWN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-3010
Mailing Address - Country:US
Mailing Address - Phone:570-420-8888
Mailing Address - Fax:570-420-8614
Practice Address - Street 1:302 E BROWN ST
Practice Address - Street 2:SUITE B
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-3010
Practice Address - Country:US
Practice Address - Phone:570-420-8888
Practice Address - Fax:570-420-8614
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002897E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA722172OtherPA BLUE CROSS BLUE SHIELD
PAP1017359OtherOXFORD
PA412912OtherCIGNA
PA5241028OtherAETNA PPO
PA722172OtherFIRST PRIORITY LIFE
PA5241028OtherAETNA
PA1187974OtherAETNA HMO
PA801166OtherFIRST PRIORITY HEALTH
PAP1017359OtherOXFORD