MEDICARE: RENEE M. KERBER MSPT

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	PT015672	PA

General Provider Information

NPI Number	:	1952374159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENEE M. KERBER MSPT

Provider Business Mailing Address
First Line	:	254 W. LANCASTER AVE
Second Line	:	P.O. BOX 666
City	:	PAOLI
State	:	PA
Zip	:	19301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	649 N LEWIS RD
Second Line	:	SUITE 220
City	:	LIMERICK
State	:	PA
Zip	:	19468-1234
Country	:	US
Telephone Number	:	610-495-0095
Fax Number	:	610-495-0394

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	02/11/2015

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