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NPI Code Detail

MEDICARE: LEBANON VALLEY COLLEGE PHYSICAL THERAPY AND SPORTS REHABILITATION

MEDICARE: LEBANON VALLEY COLLEGE PHYSICAL THERAPY AND SPORTS REHABILITATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1003235987
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEBANON VALLEY COLLEGE PHYSICAL THERAPY AND SPORTS REHABILITATION
Provider Business Mailing Address
First Line : 101 N COLLEGE AVE
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1404
Country : US
Telephone Number : 717-867-6848
Fax Number :
Provider Business Practice Location Address
First Line : 101 N COLLEGE AVE
Second Line : PHYSICAL THERAPY CLINIC
City : ANNVILLE
State : PA
Zip : 17003-1404
Country : US
Telephone Number : 717-867-6848
Fax Number :
Authorized Official
Title or Position : CHAIR, BOARD OF MANAGERS
Name : SHAWN PATRICK CURTIN
Credential :
Telephone Number : 717-867-6207
Provider Enumeration Date : 04/08/2014
Last Update Date : 12/07/2016

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Practice Location Address:
101 N COLLEGE AVE
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17003-1404
Practice Phone: 717-867-6848
Practice Fax:
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Practice Location Address:
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Practice Fax:
1457897803 — MS. ERIN ULRICH ATC
Practice Location Address:
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ANNVILLE, PA
17003-1404
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1194219170 — MEGAN STREISEL M.ED., LAT
Practice Location Address:
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ANNVILLE, PA
17003-1404
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1841786381 — JOSH EATON
Practice Location Address:
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Directions to “LEBANON VALLEY COLLEGE PHYSICAL THERAPY AND SPORTS REHABILITATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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