MEDICARE: LOUISE ABRAHAM 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
1	225100000X	Physical Therapist	PTL4590	MA

General Provider Information

NPI Number	:	1700644259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE ABRAHAM PT

Provider Business Mailing Address
First Line	:	PO BOX 4661
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17604-4661
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	253 WASHINGTON ST
Second Line	:
City	:	HUDSON
State	:	MA
Zip	:	01749-2979
Country	:	US
Telephone Number	:	610-663-5888
Fax Number	:

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

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	03/11/2024

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Directions to “ LOUISE ABRAHAM PT” Practice Location

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