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Organization
LEADING EDGE PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Active
Organization
LEADING EDGE PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS M ROMANSKY D.P.M. (OWNER)
(484) 444-0135
Entity
Organization
Contact information
Practice address
101 N MONROE ST, 2ND FLOOR, MEDIA, PA 19063-3037
(484) 444-0135
(484) 444-0138
Mailing address
101 N MONROE ST, 2ND FLOOR, MEDIA, PA 19063-3037
(484) 444-0135
(484) 444-0138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014595080002
—
PA
01
—
LE1760699
HIGHMARK BS
PA
Enumeration date
07/09/2006
Last updated
08/22/2020
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