Individual
MR. DOUGLAS EUGENE BIDELSPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
(717) 228-5943
Mailing address
1 MONARCH CIR, MYERSTOWN, PA 17067-3170
(717) 866-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010068L
PA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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