Provider Demographics
NPI:1679525422
Name:CONFORTI, JEFF CLAUDE (DPT)
Entity type:Individual
Prefix:DR
First Name:JEFF
Middle Name:CLAUDE
Last Name:CONFORTI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 NORTH 7TH STREET
Mailing Address - Street 2:CONFORTI PHYSICAL THERAPY AND FITNESS CENTER
Mailing Address - City:LEMOYNE
Mailing Address - State:PA
Mailing Address - Zip Code:17043
Mailing Address - Country:US
Mailing Address - Phone:717-731-6094
Mailing Address - Fax:717-731-6199
Practice Address - Street 1:110 NORTH 7TH STREET
Practice Address - Street 2:CONFORTI PHYSICAL THERAPY AND FITNESS CENTER
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043
Practice Address - Country:US
Practice Address - Phone:717-731-6094
Practice Address - Fax:717-731-6199
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADAPT000241225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA678594OtherHIGHMARK BLUE SHIELD
PA02032401OtherCAPITAL BLUE CROSS
PA02032401OtherCAPITAL BLUE CROSS