Provider Demographics
NPI:1699267328
Name:LORAH, HEATH (PT)
Entity type:Individual
Prefix:
First Name:HEATH
Middle Name:
Last Name:LORAH
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1605 N CEDAR CREST BLVD STE 608
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2317
Mailing Address - Country:US
Mailing Address - Phone:610-821-4950
Mailing Address - Fax:610-821-4009
Practice Address - Street 1:798 HAUSMAN RD STE 350
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9175
Practice Address - Country:US
Practice Address - Phone:610-366-1973
Practice Address - Fax:610-706-0846
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PATE001478L225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant