Individual provider · Type 1 NPI
Lisa Marie Diffenbaugh, MSPT
Pediatric Physical Therapist · Douglassville, PA
Practice location
204 Cameron Dr
Douglassville, PA 19518-8720
Fax (484) 991-2109
Mailing address
322 Luella Dr
Kutztown, PA 19530-1230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT016899 (PA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1205991585
Lisa Marie Diffenbaugh, MSPT's National Provider Identifier is 1205991585, issued on Dec 27, 2006. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Douglassville, PA. The record was last updated on May 23, 2014.