Mr Justin Carl Lavo, PT, DPT | |
100 Presidental Boulevard, Bala Cynwyd, PA 19004 | |
(610) 668-0904 | |
(610) 668-0668 |
Full Name | Mr Justin Carl Lavo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 100 Presidental Boulevard, Bala Cynwyd, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023362423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT022464 (Pennsylvania) | Primary |
Provider Name | Rehabclinics Spt Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255330148 PECOS PAC ID: 7113834102 Enrollment ID: O20180117000032 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin Carl Lavo, PT, DPT 100 Leverington Ave, Apt 202, Philadelphia, PA 19127 Ph: (607) 221-5841 | Mr Justin Carl Lavo, PT, DPT 100 Presidental Boulevard, Bala Cynwyd, PA 19004 Ph: (610) 668-0904 |
Mr. John George Sacco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 59 Rockland Ave, Bala Cynwyd, PA 19004 Phone: 610-664-3268 | |
Victoria Fryzel Dunn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz Ste Il47, Bala Cynwyd, PA 19004 Phone: 877-969-7342 | |
Kevin Deley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 610-668-0904 | |
Nadia Schimony, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 610-668-0904 | |
Dr. Kayla Conforti Uylingco, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Monument Rd Ste 110, Bala Cynwyd, PA 19004 Phone: 484-268-1350 Fax: 484-268-1351 | |
Mr. Brian Thomas Diksa, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 610-668-0904 Fax: 610-668-0668 |