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NPI Code Detail

MEDICARE: DALE EDGELL PT

MEDICARE: DALE EDGELL 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
12251X0800XOrthopedic Physical TherapistPT007978LPA

General Provider Information

NPI Number : 1487610242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALE EDGELL PT
Provider Business Mailing Address
First Line : 231 GRANITE RUN DR
Second Line :
City : LANCASTER
State : PA
Zip : 17601-6823
Country : US
Telephone Number : 717-560-4200
Fax Number : 717-560-4159
Provider Business Practice Location Address
First Line : 703 LAMPETER RD
Second Line :
City : LANCASTER
State : PA
Zip : 17602-4013
Country : US
Telephone Number : 717-291-1881
Fax Number : 717-293-9181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 07/17/2013

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Directions to “ DALE EDGELL PT” Practice Location

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