Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theda Lorraine Tallman

Individual provider Physical Therapy Assistant · NPI 1801445010

Theda Lorraine Tallman is a Physical Therapy Assistant in Williamsport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019

Practice location Address checks out

625 W Edwin St
Williamsport, PA 17701-4909
Phone: (570) 326-0565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TEI001718 (PA)

Record details

NPI number1801445010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 10, 2019
Last updated in NPPESSeptember 10, 2019

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