| Organization Name: | LIFE LINE PARTNERS, INC |
| NPI Number: | 1154352482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN A BURGDORF (CEO) |
| Mailing Address: | 1825 Tibbetts Wick Rd Girard |
| State: | OH US |
| Postal Code: | 444201222 |
| Phone Number: | 3307599233 |
| Fax Number: | 3307599677 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251C2600X |
| License Number: | PT009048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Cardiopulmonary |
| Taxonomy Definition: | |