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NPI Code Detail

MEDICARE: KIMBERLY MCCARRON LECHLEITNER PTA

MEDICARE: KIMBERLY MCCARRON LECHLEITNER PTA
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
1225200000XPhysical Therapy AssistantTE007495PA

General Provider Information

NPI Number : 1275652075
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY MCCARRON LECHLEITNER PTA
Provider Business Mailing Address
First Line : 205 NORTH ST
Second Line :
City : MINERSVILLE
State : PA
Zip : 17954-1311
Country : US
Telephone Number : 570-527-0655
Fax Number :
Provider Business Practice Location Address
First Line : 1000 SETON DR
Second Line :
City : ORWIGSBURG
State : PA
Zip : 17961-1009
Country : US
Telephone Number : 570-366-0400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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