Provider Demographics
NPI:1982745204
Name:LORDS, HEATHER LYNN (PT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LYNN
Last Name:LORDS
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 1:1606 PITTSBURGH RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323
Mailing Address - Country:US
Mailing Address - Phone:814-432-0964
Mailing Address - Fax:
Practice Address - Street 1:912 E STATE ST
Practice Address - Street 2:SUITE E
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3361
Practice Address - Country:US
Practice Address - Phone:724-981-0913
Practice Address - Fax:724-981-0916
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013513L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist