Provider Demographics
NPI:1548498132
Name:STEFANICK, LAURA MCVEY (DPT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MCVEY
Last Name:STEFANICK
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 1:520 PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3902
Mailing Address - Country:US
Mailing Address - Phone:724-463-7478
Mailing Address - Fax:724-463-0931
Practice Address - Street 1:351 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2419
Practice Address - Country:US
Practice Address - Phone:215-256-6740
Practice Address - Fax:215-256-9280
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1548498132OtherHEALTH AMERICA HEALTH ASSURANCE
PA1548498132OtherORTHONET
PA2119455OtherHIGHMARK BLUE SHIELD
PA3726132000OtherINDEPENDENCE BLUE CROSS
PA1548498132OtherHEALTH AMERICA HEALTH ASSURANCE