Provider Demographics
NPI:1770548620
Name:PECHER, CAROL LYNNE (PT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:LYNNE
Last Name:PECHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:LYNNE
Other - Last Name:FENTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-5590
Mailing Address - Fax:717-851-5957
Practice Address - Street 1:40 V TWIN DRIVE
Practice Address - Street 2:STE 205, ROOM 2512
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2500
Practice Address - Country:US
Practice Address - Phone:717-851-5590
Practice Address - Fax:717-851-5957
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADAPT00115225100000X
PAPT007446L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
396716Medicare ID - Type Unspecified