MEDICARE: STEPHANIE MICHELLE VANLEEUWEN D.P.T.

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	PTO19885	PA
2	225100000X	Physical Therapist	2305207735	VA

General Provider Information

NPI Number	:	1376709436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MICHELLE VANLEEUWEN D.P.T.

Provider Business Mailing Address
First Line	:	1502 W CHESTER PIKE
Second Line	:	THE MARKET PLACE AT WESTTOWN
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-7705
Country	:	US
Telephone Number	:	610-692-7208
Fax Number	:	610-692-6865

Provider Business Practice Location Address
First Line	:	1502 W CHESTER PIKE
Second Line	:	THE MARKET PLACE AT WESTTOWN
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-7705
Country	:	US
Telephone Number	:	610-692-7208
Fax Number	:	610-692-6865

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

Provider Enumeration Date	:	07/29/2008
Last Update Date	:	11/20/2025

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