| Laurie Brogan, PT, DPT, CEEAA, GCS | |
|
5 Jacquelyn Ln, Dallas, PA 18612-9107 | |
| (570) 255-4578 | |
| (570) 255-4575 |
| Full Name | Laurie Brogan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5 Jacquelyn Ln, Dallas, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912460890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT014115L (Pennsylvania) | Primary |
| Provider Name | Cip Rehabilitation Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1669963039 PECOS PAC ID: 4789932104 Enrollment ID: O20180801002322 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Brogan, PT, DPT, CEEAA, GCS 1045 Suscon Rd, Pittston, PA 18640-9541 Ph: (570) 362-4201 | Laurie Brogan, PT, DPT, CEEAA, GCS 5 Jacquelyn Ln, Dallas, PA 18612-9107 Ph: (570) 255-4578 |
Emily Hammond, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lake St, Dallas, PA 18612 Phone: 607-675-8600 | |
Dana Ann Menzel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Center Hill Rd, Dallas, PA 18612 Phone: 570-675-8600 | |
Kyle Jacob Romanofski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 E Center Hill Rd, Dallas, PA 18612 Phone: 570-675-2300 Fax: 570-675-6852 | |
Dr. Nicole Evanosky, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Jacquelyn Ln, Dallas, PA 18612 Phone: 570-574-1930 | |
Kristina Mary Ruby, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lake St, Dallas, PA 18612 Phone: 570-266-2920 | |
Eric Thomas Jeffries, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 E Center Hill Rd, Dallas, PA 18612 Phone: 570-674-2300 | |
Ms. Rebecca Ann Yurko, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Main St, Gem-riverside Rehab, Dallas, PA 18612 Phone: 570-674-2659 Fax: 570-675-8980 |