MEDICARE: LORI NEWMAN 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	008143L	PA

General Provider Information

NPI Number	:	1255752846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORI NEWMAN PT

Provider Business Mailing Address
First Line	:	1001 WOOD ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-3118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 WOOD ST
Second Line	:
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-3118
Country	:	US
Telephone Number	:	610-653-4864
Fax Number	:

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

Provider Enumeration Date	:	12/27/2013
Last Update Date	:	12/27/2013

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