# LOWER MERION REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447305776
- **Authorized official:** DR. CAROL J DEBAKKER M.D. (PRESIDENT)
- **Authorized official phone:** (844) 476-3391

## Contact information

- **Practice address:** 100 E LANCASTER AVE STE B7, WYNNEWOOD, PA 19096-3450
- **Practice address phone:** (484) 476-3391
- **Practice address fax:** (866) 848-9001
- **Mailing address:** PO BOX 457, WYNNEWOOD, PA 19096-0457
- **Mailing address phone:** (484) 476-3391
- **Mailing address fax:** (866) 848-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD038380L | PA | Yes |

## Other

- **Enumeration date:** 01/25/2007
- **Last updated:** 01/14/2021