Provider Demographics
NPI:1902138415
Name:REJANO, PILITA (PT)
Entity Type:Individual
Prefix:
First Name:PILITA
Middle Name:
Last Name:REJANO
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 1:2A RICHLAND LN
Mailing Address - Street 2:APT 204
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-2468
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2A RICHLAND LN
Practice Address - Street 2:APT 204
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2468
Practice Address - Country:US
Practice Address - Phone:408-705-8735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018260225100000X
CAPT35309225100000X
CO9003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist