Organization Name: | LEBANON VALLEY COLLEGE PHYSICAL THERAPY AND SPORTS REHABILITATION |
NPI Number: | 1003235987 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN SCOTT PEERS (PHYSICAL THERAPIST/ DIRECTOR) |
Mailing Address: | 101 N College Ave Physical Therapy Clinic Annville |
State: | PA US |
Postal Code: | 170031404 |
Phone Number: | 7178676848 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2014 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |