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1104194950
THERESA ANN LUST
MEDIA, PA
NPI
1104194950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT020049)
Enumeration Date
2011-12-08
Last Update Date
2012-10-09
Business Address
-- THERESA ANN LUST DPT
1118 W BALTIMORE PIKE STE 302
MEDIA, PA 19063-6104
Phone number: 610-744-2600
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Mailing Address
-- THERESA ANN LUST DPT
1118 W BALTIMORE PIKE STE 302
MEDIA, PA 19063-6104
Phone number:
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