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Organization
MIR PHYSICAL THERAPY
Active
Organization
MIR PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L. STILES JR. PHYSICAL THERAPIST (PRESIDENT)
(215) 256-1991
Entity
Organization
Contact information
Practice address
703 HARLEYSVILLE PK, LEDERACH, PA 19450-0396
(215) 256-1991
(215) 256-1895
Mailing address
PO BOX 396, 703 HARLEYSVILLE PIKE, LEDERACH, PA 19450-0396
(215) 256-1991
(215) 256-1895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0006436L
PA
Other
Enumeration date
10/17/2006
Last updated
07/06/2009
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