MEDICARE: JEAN W SILBAUGH DPT

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
1	225100000X	Physical Therapist	PT019888	PA

General Provider Information

NPI Number	:	1093048878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN W SILBAUGH DPT

Provider Business Mailing Address
First Line	:	1022 PLYMOUTH RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-3858
Country	:	US
Telephone Number	:	717-840-4149
Fax Number	:	717-840-9049

Provider Business Practice Location Address
First Line	:	1022 PLYMOUTH RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-3858
Country	:	US
Telephone Number	:	717-840-4149
Fax Number	:	717-840-9049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2009
Last Update Date	:	09/11/2009

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