Organization
REPS REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE LANCE PT, DPT (OWNER)
(908) 319-8648
Entity
Organization
Contact information
Practice address
640 W DEKALB PIKE STE 1221, KING OF PRUSSIA, PA 19406-5024
(908) 319-8648
Mailing address
5426 HILLSIDE AVE, WHITEHALL, PA 18052-1704
(908) 319-8648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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