NPI 1003104282

Lifebridge Sports Medicine & Rehabilitation LLC

Organisation Rehabilitation Clinic/Center Belcamp, MD

Practice location

Address: 111 Bata Blvd Suite C, Belcamp, MD 21017-1427
Phone: (410) 273-6000
Fax: (410) 273-6061
Mailing address: PO Box 1245, Indiana, PA 15701-5245

Authorised official

Name: Jayne Fleck Pool
Title: Chief Compliance Officer
Phone: (610) 884-4803

Registered specialties

Rehabilitation Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR0400X

Other Clinic/Center providers in Maryland →

Registry record

NPI: 1003104282
Entity type: Organization
NPI issued: 21 Jul 2011
Record last updated: 25 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.