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NPI Code Detail

MEDICARE: ELAINE P CONNER MSPT

MEDICARE:   ELAINE P CONNER  MSPT
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
1225100000XPhysical TherapistPT003372LPA

General Provider Information

NPI Number : 1386934099
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE P CONNER MSPT
Provider Business Mailing Address
First Line : 1614 FORT WASHINGTON AVE
Second Line :
City : AMBLER
State : PA
Zip : 19002-3023
Country : US
Telephone Number : 215-646-7656
Fax Number :
Provider Business Practice Location Address
First Line : 1614 FORT WASHINGTON AVE
Second Line :
City : AMBLER
State : PA
Zip : 19002-3023
Country : US
Telephone Number : 215-646-7656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2011
Last Update Date : 04/14/2011

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Directions to “ ELAINE P CONNER MSPT” Practice Location

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