Organization
PEDIATRIC PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZABETH KELLY BSPT (PHYSICAL THERAPIST)
(717) 919-0208
Entity
Organization
Contact information
Practice address
78 LOCUST AVE, HERSHEY, PA 17033-1736
(717) 919-0208
Mailing address
78 LOCUST AVE, HERSHEY, PA 17033-1736
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
PT009997L
PA
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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