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Organization
PAIN RELIEF AND PHYSICAL THERAPY, INC.
Active
Organization
PAIN RELIEF AND PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADDISON JADE LERNER-LENTZ DPT, FAAOMPT, COMT (OWNER/PRESIDENT)
(610) 789-9887
Entity
Organization
Contact information
Practice address
57 W EAGLE RD, SUITE 1, HAVERTOWN, PA 19083-2234
(610) 789-9887
(610) 789-9883
Mailing address
57 W EAGLE RD, HAVERTOWN, PA 19083-2234
(610) 789-1599
(610) 789-9883
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-002907-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000968311
BS/BC GROUP #
PA
01
—
0214300
ORTHONET GRP #
PA
01
—
0445391000
PERSONALCHOICE PROVIDER#
PA
01
—
1017072
AETNA GROUP PROV. #
PA
01
—
445391000
KEYSTONE
PA
01
—
CK5209
RAILROAD MEDICARE
PA
01
—
I68311
AMERIHEALTH GRP #
PA
Enumeration date
04/13/2006
Last updated
12/31/2024
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