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NPI Code Detail

MEDICARE: LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC.

MEDICARE: LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC.
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
1103TB0200XCognitive & Behavioral Psychologist
2103TC1900XCounseling Psychologist
3225X00000XOccupational Therapist
4235Z00000XSpeech-Language Pathologist
5225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871598045
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC.
Provider Business Mailing Address
First Line : 421 S BEST AVE
Second Line :
City : WALNUTPORT
State : PA
Zip : 18088-1217
Country : US
Telephone Number : 610-760-1520
Fax Number : 610-760-1721
Provider Business Practice Location Address
First Line : 624 WILHELM RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17111-2169
Country : US
Telephone Number : 717-564-7858
Fax Number : 717-564-4846
Authorized Official
Title or Position : BUSINESS OFFICE MANAGER
Name : JEANETTE HAMELL
Credential :
Telephone Number : 610-760-1520
Provider Enumeration Date : 06/15/2005
Last Update Date : 10/08/2007

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Directions to “LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC. ” Practice Location

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