Provider Demographics
NPI:1760458442
Name:PAPARO DORAN, LAURIE (PT)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:PAPARO DORAN
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 1:1015 HUNT DR
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-4831
Mailing Address - Country:US
Mailing Address - Phone:610-486-0114
Mailing Address - Fax:
Practice Address - Street 1:300 EVERGREEN DRIVE
Practice Address - Street 2:SUITE 220
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342
Practice Address - Country:US
Practice Address - Phone:610-579-3650
Practice Address - Fax:610-579-3655
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005590L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist