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Organization
LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC
Active
Organization
LEHIGH VALLEY PHYSICAL THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE HAMELL (BUSINESS OFFICE MANAGER)
(610) 760-1520
Entity
Organization
Contact information
Practice address
269 BLUE VALLEY DR, BANGOR, PA 18013-1512
(610) 588-3284
(610) 588-3877
Mailing address
421 S BEST AVE, WALNUTPORT, PA 18088-1217
(610) 760-1520
(610) 760-1721
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016806440012
—
PA
Enumeration date
06/15/2005
Last updated
10/05/2007
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