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NPI Code Detail

MEDICARE: MRS. LAUREN M ABERNETHY DPT

MEDICARE: MRS. LAUREN M ABERNETHY 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
1225100000XPhysical TherapistPT022169PA

General Provider Information

NPI Number : 1043620974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN M ABERNETHY DPT
Provider Business Mailing Address
First Line : 2127 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3216
Country : US
Telephone Number : 215-742-8099
Fax Number : 215-742-1871
Provider Business Practice Location Address
First Line : 2127 RHAWN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19152-3216
Country : US
Telephone Number : 215-742-8099
Fax Number : 215-742-1871
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2014
Last Update Date : 04/30/2014

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