Organization
ADVANCED LYMPHEDEMA THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ANNE KOSCHINEG OTRL (PRESIDENT)
(215) 913-0127
Entity
Organization
Contact information
Practice address
3 CORNER STONE DRIVE, SUITE 700, LANGHORNE, PA 19047
(215) 750-0501
(215) 340-1299
Mailing address
603 FERRIS LN, DOYLESTOWN, PA 18901-5037
(215) 913-0127
(215) 340-1299
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OC008082
PA
Other
Enumeration date
05/23/2007
Last updated
07/10/2007
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