NPI 1104376417

Lisa Pan, PTDPT

Practitioner Orthopedic Physical Therapist Glen Mills, PA

Practice location

Address: 331 Wilmington Pike, Glen Mills, PA 19342-2277
Phone: (610) 558-5866
Fax: (610) 558-6103
Mailing address: 120 W Germantown Pike Suite 100, Plymouth Meeting, PA 19462-1420

Registered specialties

Orthopedic Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2251X0800X Licence PT025572 (PA)

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Registry record

NPI: 1104376417
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2016
Record last updated: 11 Oct 2016

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.