MEDICARE: LORI L BEMESDERFER PT

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	PT011769L	PA

General Provider Information

NPI Number	:	1255309654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI L BEMESDERFER PT

Provider Business Mailing Address
First Line	:	2735 MOSSIDE BLVD
Second Line	:	SUITE 201
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-2736
Country	:	US
Telephone Number	:	412-856-8060
Fax Number	:	412-856-8060

Provider Business Practice Location Address
First Line	:	3520 ROUTE 130
Second Line	:	LEVERINGTON COMPLEX - PENN TOWNSHIP
City	:	IRWIN
State	:	PA
Zip	:	15642-1438
Country	:	US
Telephone Number	:	712-744-0950
Fax Number	:	724-744-1008

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	07/08/2007

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