Organization
BODY REBUILDERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY U. ALTMAN LESHER MPT (VICE PRESIDENT/PT)
(610) 668-4055
Entity
Organization
Contact information
Practice address
225 CITY AVENUE, STE 250, BALA CYNWYD, PA 19004-1704
(610) 668-4055
(610) 668-4250
Mailing address
225 E CITY AVE, STE 250, BALA CYNWYD, PA 19004-1704
(610) 668-4055
(610) 668-4250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0215514000
INDEPENDENCE BLUE CROSS
PA
01
—
501213
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/07/2006
Last updated
03/02/2015
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