Lifebridge Sports Medicine & Rehabilitation LLC

NPI #1003104282 in Belcamp, Maryland

Provider Information

NPI Number
1003104282
Entity Type
Organization
Organization Name
Lifebridge Sports Medicine & Rehabilitation LLC
Primary Specialty
Clinic/Center - Rehabilitation
Enumeration Date
Jul 21, 2011
Last Updated
Apr 25, 2012

Practice Location

Address
111 BATA BLVD
Address 2
SUITE C
ZIP Code
21017-1427
Phone
(410) 273-6000

Authorized Official

Name
JAYNE FLECK POOL
Title
CHIEF COMPLIANCE OFFICER
Phone
(610) 884-4803

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RehabilitationRehabilitation

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