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NPI Code Detail

MEDICARE: MS. LINDA LOUISE PELLETIER P.T.

MEDICARE: MS. LINDA LOUISE PELLETIER 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
1225100000XPhysical TherapistPT001767EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001731000OTHERPAMEDICAL ASSISTANCE PROVID

General Provider Information

NPI Number : 1649270067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA LOUISE PELLETIER P.T.
Provider Business Mailing Address
First Line : 16 CAMBRIDGE CT
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-8342
Country : US
Telephone Number : 717-261-1041
Fax Number :
Provider Business Practice Location Address
First Line : 142 FRANKLIN FARM LN
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8901
Country : US
Telephone Number : 717-263-5147
Fax Number : 717-263-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 05/10/2018

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