Individual
VAN LANZENDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4202 E MAIN ST, BELLEVILE, PA 17004
(717) 935-2105
Mailing address
16832 DUNNINGS HWY, DUNCANSVILLE, PA 16635-4631
(814) 330-3976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEO11978
PA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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