Theresa Ann Lust, DPT
NPI #1104194950 in Media, Pennsylvania
Provider Information
- NPI Number
- 1104194950
- Entity Type
- Individual
- Name
- Theresa Ann Lust, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- DPT
- Enumeration Date
- Dec 8, 2011
- Last Updated
- Oct 9, 2012
Practice Location
- Address
- 1118 W BALTIMORE PIKE
- Address 2
- STE 302
- City
- Media
- State
- Pennsylvania
- ZIP Code
- 19063-6104
- Phone
- (610) 744-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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