MEDICARE: DR. JANET LEE LEIBY 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	2251P0200X	Pediatric Physical Therapist	PT009572L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629273768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET LEE LEIBY DPT

Provider Business Mailing Address
First Line	:	299 HOPE DR
Second Line	:
City	:	BLANDON
State	:	PA
Zip	:	19510-9468
Country	:	US
Telephone Number	:	610-926-6038
Fax Number	:

Provider Business Practice Location Address
First Line	:	4950 YORK RD
Second Line	:
City	:	HOLICONG
State	:	PA
Zip	:	18928-0470
Country	:	US
Telephone Number	:	215-794-0800
Fax Number	:

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

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	07/08/2007

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