Provider Demographics
NPI:1780341206
Name:MURNANE, REGINA MARIE (DPT)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:MARIE
Last Name:MURNANE
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 1:704 EVERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1516
Mailing Address - Country:US
Mailing Address - Phone:610-816-1500
Mailing Address - Fax:
Practice Address - Street 1:704 EVERGREEN CT
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19610-1516
Practice Address - Country:US
Practice Address - Phone:610-816-1500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-18
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0298422251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics