Organization
BREAKOUT ADVISORS AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY O LEMCKE ATC,PT,OCS (PRESIDENT)
(724) 934-6813
Entity
Organization
Contact information
Practice address
10 N MEADOWS DR, SUITE 10, WEXFORD, PA 15090-8367
(724) 934-6813
(724) 934-6814
Mailing address
10 N MEADOWS DR, SUITE 10, WEXFORD, PA 15090-8367
(724) 934-6813
(724) 934-1841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/11/2016
Last updated
05/12/2016
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