Organization
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
Active
Other names
Physiotherapy Associates, NovaCare Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F DUGGAN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
1167 MERRITT BLVD, STORE #1167 C-2, DUNDALK, MD 21222-1438
(410) 282-2104
(410) 282-3950
Mailing address
4714 GETTYSBURG RD, LEGAL DEPT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
10/20/2025
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