| Lakeside Physical Therapy And Wellness Llc | |
|
12109 Iroquois Rd, Conneaut Lake, PA 16316-3341 | |
| (814) 382-9405 | |
| Not Available |
| Full Name | Lakeside Physical Therapy And Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12109 Iroquois Rd, Conneaut Lake, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689212136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mark J Leonard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033403621 PECOS PAC ID: 5193993210 Enrollment ID: I20110715000429 |
| Provider Name | Alyse A Widger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104198431 PECOS PAC ID: 4385809896 Enrollment ID: I20150420000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Physical Therapy And Wellness Llc 12109 Iroquois Rd, Conneaut Lake, PA 16316-3341 Ph: (814) 382-9405 | Lakeside Physical Therapy And Wellness Llc 12109 Iroquois Rd, Conneaut Lake, PA 16316-3341 Ph: (814) 382-9405 |
Randall B. Schlosser, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11018 State Hwy 18, Suite 3, Conneaut Lake, PA 16316 Phone: 814-382-6570 Fax: 814-382-6569 | |
Dr. Mark J Leonard, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11018 Hwy 18, 3, Conneaut Lake, PA 16316 Phone: 814-382-6570 | |
Andrew Joseph Schlosser, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11018 State Highway 18 Ste 3, Conneaut Lake, PA 16316 Phone: 814-783-0051 Fax: 814-783-0053 |