# LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifebridge Health Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265538359
- **Authorized official:** ELIZABETH GELBAUGH (MANAGER)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 6190 GEORGETOWN BLVD, ELDERSBURG, MD 21784-6460
- **Practice address phone:** (410) 552-4235
- **Practice address fax:** (410) 552-4248
- **Mailing address:** 4714 GETTYSBURG RD, LEGAL DEPT, MECHANICSBURG, PA 17055-4325
- **Mailing address phone:** (717) 972-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 03/21/2019