MEDICARE: BODY REBUILDERS, P.C.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	501213	OTHER	PA	HIGHMARK BLUE SHIELD
2	0215514000	OTHER	PA	INDEPENDENCE BLUE CROSS

General Provider Information

NPI Number	:	1255400081
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BODY REBUILDERS, P.C.

Provider Business Mailing Address
First Line	:	225 E CITY AVE
Second Line	:	STE 250
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1704
Country	:	US
Telephone Number	:	610-668-4055
Fax Number	:	610-668-4250

Provider Business Practice Location Address
First Line	:	225 CITY AVENUE
Second Line	:	STE 250
City	:	BALA CYNWYD
State	:	PA
Zip	:	19004-1704
Country	:	US
Telephone Number	:	610-668-4055
Fax Number	:	610-668-4250

Authorized Official
Title or Position	:	VICE PRESIDENT/PT
Name	:	AMY U. ALTMAN LESHER
Credential	:	MPT
Telephone Number	:	610-668-4055

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	03/02/2015

Similar Medicare Providers

1114915147 — DR. MARY VAN DEN BERG-WOLF MD
Practice Location Address:

225 E CITY AVE , SUITE 109
BALA CYNWYD, PA
19004-1704

Practice Phone: 215-503-3838
Practice Fax:

1467423624 — DR. MOHAN GURUBHAGAVATULA DO
Practice Location Address:

225 E CITY AVE STE 215
BALA CYNWYD, PA
19004-1704

Practice Phone: 610-664-8200
Practice Fax: 866-267-4029

1356394779 — DR. LESLIE A. BROWN M.D.
Practice Location Address:

225 E CITY AVE , #101
BALA CYNWYD, PA
19004-1704

Practice Phone: 610-664-4616
Practice Fax: 610-664-3122

1467487595 — DR. JANINE V. KYRILLOS M.D.
Practice Location Address:

225 E CITY AVE , SUITE 109
BALA CYNWYD, PA
19004-1704

Practice Phone: 610-664-0134
Practice Fax: 610-664-2945

1730258427 — MRS. AMY U. ALTMAN LESHER MPT
Practice Location Address:

225 CITY AVENUE , STE 250
BALA CYNWYD, PA
19004-1704

Practice Phone: 610-668-4055
Practice Fax: 610-668-4250

1326160920 — RONALD B. GREENE, MD P.C.
Practice Location Address:

225 E CITY AVE , SUITE105
BALA CYNWYD, PA
19004-1704

Practice Phone: 610-664-8828
Practice Fax: 610-664-8829

Directions to “BODY REBUILDERS, P.C. ” Practice Location

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