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Individual

GABRIELLE LANZENDORFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1947 POLECAT RD, EAST FREEDOM, PA 16637-8630
(814) 381-6373
Mailing address
1947 POLECAT ROAD, EAST FREEDOM, PA 16637
(814) 381-6373

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025236
PA
2255A2300X
Athletic Trainer
RT 005754
PA

Other

Enumeration date
05/06/2016
Last updated
06/27/2016
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