Individual
EDWARD LUEBBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 E STATE ST, KENNETT SQUARE, PA 19348-3172
(800) 243-4556
Mailing address
655 CHEEK RD, MONROE, GA 30655-5149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002919
GA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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