Healthcare Provider Details

I. General information

NPI: 1952162745
Provider Name (Legal Business Name): LHM PHYSICAL THERAPY INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2024
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 N LONDONDERRY SQ
PALMYRA PA
17078-3900
US

IV. Provider business mailing address

4750 LINDLE RD STE 100
HARRISBURG PA
17111-2428
US

V. Phone/Fax

Practice location:
  • Phone: 717-803-3342
  • Fax:
Mailing address:
  • Phone: 717-803-3342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: GERALD MCKIM
Title or Position: CFO
Credential:
Phone: 717-877-8469