Doctor Name: | MR. DOUGLAS EUGENE BIDELSPACH |
NPI Number: | 1487674230 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT010068L |
Business Practice Address: | 1700 S Lincoln Ave Lebanon, PA - 170427529 |
Business Phone Number: | 7172726621 |
Business Fax Number: | 7172285943 |
Mailing Address: | 1 Monarch Cir, MYERSTOWN |
State: | PA |
Postal Code: | 170673170 |
Phone Number: | 7178660407 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT010068L |
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 |