MEDICARE: ELIZABETH SCHWEMM TALBOT PT

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1184318388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SCHWEMM TALBOT PT

Provider Business Mailing Address
First Line	:	5425 JONESTOWN RD STE 100
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17112-4086
Country	:	US
Telephone Number	:	717-901-9487
Fax Number	:

Provider Business Practice Location Address
First Line	:	1104 CARLISLE RD STE 170
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-6215
Country	:	US
Telephone Number	:	717-210-5676
Fax Number	:

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

Provider Enumeration Date	:	06/08/2023
Last Update Date	:	06/08/2023

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