Provider Demographics
NPI:1588876841
Name:LOFASO, LINDA KAY (PT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KAY
Last Name:LOFASO
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 1:2339 MCDEVITT RD
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8602
Mailing Address - Country:US
Mailing Address - Phone:412-741-0167
Mailing Address - Fax:
Practice Address - Street 1:300 NORTHPOINTE CIR
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7862
Practice Address - Country:US
Practice Address - Phone:724-778-4615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003428L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist