Provider Demographics
NPI:1922295054
Name:MALONEY, BETH LEPKOWSKI (PT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:LEPKOWSKI
Last Name:MALONEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-1524
Mailing Address - Country:US
Mailing Address - Phone:717-630-9016
Mailing Address - Fax:717-630-9016
Practice Address - Street 1:927 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-1524
Practice Address - Country:US
Practice Address - Phone:717-630-9016
Practice Address - Fax:717-630-9016
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016693225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist