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NPI Code Detail

MEDICARE: MS. LYN MEREDITH DUFRESNE PT

MEDICARE: MS. LYN MEREDITH DUFRESNE 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
12251P0200XPediatric Physical TherapistPT016267PA
2225100000XPhysical TherapistPT016267PA

General Provider Information

NPI Number : 1326057506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYN MEREDITH DUFRESNE PT
Provider Business Mailing Address
First Line : 613 CRICKLEWOOD RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-8507
Country : US
Telephone Number : 484-266-0387
Fax Number : 717-692-5464
Provider Business Practice Location Address
First Line : 613 CRICKLEWOOD RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-8507
Country : US
Telephone Number : 484-266-0387
Fax Number : 717-692-5464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 04/17/2024

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