MEDICARE: FOR YOUR HEALTH LLC

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	208100000X	Physical Medicine & Rehabilitation Physician	MD065930L	PA

General Provider Information

NPI Number	:	1093057853
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOR YOUR HEALTH LLC

Provider Business Mailing Address
First Line	:	1295 GRAND BLVD
Second Line	:
City	:	MONESSEN
State	:	PA
Zip	:	15062-1955
Country	:	US
Telephone Number	:	724-684-4150
Fax Number	:	724-684-4189

Provider Business Practice Location Address
First Line	:	1295 GRAND BLVD
Second Line	:
City	:	MONESSEN
State	:	PA
Zip	:	15062-1955
Country	:	US
Telephone Number	:	724-684-4150
Fax Number	:	724-684-4189

Authorized Official
Title or Position	:	PPHYSICIAN/OWNER
Name	:	VICTORIA MICHELLE SEPESKY
Credential	:	M.D.
Telephone Number	:	724-684-4150

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	04/10/2013

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Directions to “FOR YOUR HEALTH LLC ” Practice Location

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