Provider Demographics
NPI:1265593461
Name:LEHIGH VALLEY PHYSICAL THERAPY
Entity type:Organization
Organization Name:LEHIGH VALLEY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HAMELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-760-1520
Mailing Address - Street 1:227 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:EAST BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-2213
Mailing Address - Country:US
Mailing Address - Phone:610-588-0266
Mailing Address - Fax:
Practice Address - Street 1:421 S BEST AVE
Practice Address - Street 2:
Practice Address - City:WALNUTPORT
Practice Address - State:PA
Practice Address - Zip Code:18088-1217
Practice Address - Country:US
Practice Address - Phone:610-760-1520
Practice Address - Fax:610-760-1721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018213225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty