Individual
ELAINE S MAURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 WALNUT ST, LEBANON, PA 17042-5950
(717) 274-3493
Mailing address
1819 BLACKS BRIDGE RD, ANNVILLE, PA 17003-9665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002434L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017039270001
—
PA
Enumeration date
04/10/2007
Last updated
07/09/2007
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