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1578055497
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
ELDERSBURG, MD
NPI
1578055497
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Entity Type
Organization
Authorized Contact
MICHAEL TARVIN
Vice President
717-972-1100
Organization Subpart ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center, Rehabilitation
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
6190 GEORGETOWN BLVD
ELDERSBURG, MD 21784-6460
Phone number: 410-552-4235
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Mailing Address
LIFEBRIDGE SPORTS MEDICINE AND REHABILITATION LLC
4714 GETTYSBURG RD
MECHANICSBURG, PA 17055-4325
Phone number:
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