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Organization

CENTRAL PENN IN HOME THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SOPHEAP YI DPT (PHYSICAL THERAPIST/OWNER)
(717) 926-6677
Entity
Organization

Contact information

Practice address
609 N 12TH ST, LEBANON, PA 17046-3381
(717) 926-6677
(717) 838-4581
Mailing address
520 HEDGE ROW LN, PALMYRA, PA 17078-8651
(717) 926-6677
(717) 838-4581

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT015630
PA

Other

Enumeration date
11/19/2014
Last updated
11/19/2014
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