Provider Demographics
NPI:1699954289
Name:RAUF, DEBORAH ANN (PT)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:RAUF
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 1:4112 SPRINGHILL RD
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:PA
Mailing Address - Zip Code:15946-7402
Mailing Address - Country:US
Mailing Address - Phone:814-736-6016
Mailing Address - Fax:814-736-4299
Practice Address - Street 1:4112 SPRINGHILL RD
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:PA
Practice Address - Zip Code:15946-7402
Practice Address - Country:US
Practice Address - Phone:814-736-6016
Practice Address - Fax:814-736-4299
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000712E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist