Provider Demographics
NPI:1356580807
Name:DIGIOVANNA, PAMELA JEANNE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JEANNE
Last Name:DIGIOVANNA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:PAMELA
Other - Middle Name:JEANNE
Other - Last Name:SOBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:2586 HIGHWAY 17 SOUTH (BUSINESS)
Mailing Address - Street 2:UNIT C&D
Mailing Address - City:GARDEN CITY BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29576-6605
Mailing Address - Country:US
Mailing Address - Phone:843-651-6565
Mailing Address - Fax:843-651-6575
Practice Address - Street 1:2586 HIGHWAY 17 SOUTH (BUSINESS)
Practice Address - Street 2:UNIT C&D
Practice Address - City:GARDEN CITY BEACH
Practice Address - State:SC
Practice Address - Zip Code:29576-6605
Practice Address - Country:US
Practice Address - Phone:843-651-6565
Practice Address - Fax:843-651-6575
Is Sole Proprietor?:No
Enumeration Date:2009-02-06
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
SC6861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist