MEDICARE: NO LIMITS PHYSICAL THERAPY & SPORTS MEDICINE CENTER, 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	174400000X	Specialist

General Provider Information

NPI Number	:	1629035431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NO LIMITS PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC

Provider Business Mailing Address
First Line	:	HC 6 BOX 6046
Second Line	:	25 19 RT 6
City	:	HAWLEY
State	:	PA
Zip	:	18428-9100
Country	:	US
Telephone Number	:	570-226-5680
Fax Number	:	570-226-5682

Provider Business Practice Location Address
First Line	:	HC 6 BOX 6046
Second Line	:	THE LAKE'S NORTH POLE
City	:	HAWLEY
State	:	PA
Zip	:	18428-9100
Country	:	US
Telephone Number	:	570-226-5680
Fax Number	:	570-226-5682

Authorized Official
Title or Position	:	TREASURER
Name	:	RUTH L DUNN
Credential	:
Telephone Number	:	570-226-5680

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	10/08/2007

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