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Organization
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Active
Organization
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH GELBAUGH (MANAGER)
(717) 972-1100
Entity
Organization
Contact information
Practice address
8757 MYLANDER LN, TOWSON, MD 21286-2102
(410) 823-1336
Mailing address
4714 GETTYSBURG RD, MECHANICSBURG, PA 17055-4325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235500000X
Speech/Language/Hearing Specialist/Technologist
—
NULL
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
261Q00000X
Clinic/Center
—
NULL
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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