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NPI Code Detail

MEDICARE: FRONT RUNNER PHYSIOTHERAPY LLC

MEDICARE: FRONT RUNNER PHYSIOTHERAPY LLC
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
12251S0007XSports Physical Therapist

General Provider Information

NPI Number : 1720745672
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRONT RUNNER PHYSIOTHERAPY LLC
Provider Business Mailing Address
First Line : 1445 SADDLEBACK RD
Second Line :
City : YORK
State : PA
Zip : 17408-7001
Country : US
Telephone Number : 717-654-3284
Fax Number :
Provider Business Practice Location Address
First Line : 1445 SADDLEBACK RD
Second Line :
City : YORK
State : PA
Zip : 17408-7001
Country : US
Telephone Number : 717-654-3284
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. SEAN SEBECK JR.
Credential :
Telephone Number : 717-654-3284
Provider Enumeration Date : 11/24/2021
Last Update Date : 11/24/2021

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Directions to “FRONT RUNNER PHYSIOTHERAPY LLC ” Practice Location

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