Organization
MAIN LINE PHYSIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER LEIB DPT (OWNER)
(484) 380-5185
Entity
Organization
Contact information
Practice address
700 PONT READING RD STE 200B, ARDMORE, PA 19003-1937
(484) 380-5185
(844) 823-5665
Mailing address
700 PONT READING RD STE 200B, ARDMORE, PA 19003-1937
(484) 380-5185
(844) 823-5665
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT018221
PA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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