| Organization Name: | BRYN MAWR SPORTS MEDICINE AND REHABILITATION |
| NPI Number: | 1396761904 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM M DEUBER (PRESIDENT) |
| Mailing Address: | 945 E Haverford Rd 1st Floor Bryn Mawr |
| State: | PA US |
| Postal Code: | 190103814 |
| Phone Number: | 6105251223 |
| Fax Number: | 6105255797 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 02/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT003474L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |