Lakeside Physical Therapy and Wellness LLC

NPI #1689212136 in Conneaut Lake, Pennsylvania

Provider Information

NPI Number
1689212136
Entity Type
Organization
Organization Name
Lakeside Physical Therapy and Wellness LLC
Primary Specialty
Physical Therapist
Enumeration Date
Dec 16, 2019
Last Updated
Dec 16, 2019

Practice Location

Address
12109 IROQUOIS RD
ZIP Code
16316-3341
Phone
(814) 382-9405

Authorized Official

Name
MARK LEONARD
Title
OWNER
Phone
(814) 573-1549

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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