Individual
MRS. ELIZABETH DENTREMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
250 LANCANTER AVE, #225, PAOLI, PA 19301
(610) 651-8282
(610) 651-8283
Mailing address
250 LANCANTER AVE, #225, PAOLI, PA 19301
(610) 651-8282
(610) 651-8283
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1606882
BLUE CROSS BLUE SHIELD
—
01
—
2284912000
PERSONAL CHOICE 65
—
Enumeration date
07/31/2006
Last updated
07/08/2007
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