MEDICARE: PAUL HOCHSCHWENDER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	PT029660	PA

General Provider Information

NPI Number	:	1841965779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL HOCHSCHWENDER

Provider Business Mailing Address
First Line	:	639 N 35TH ST APT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-1943
Country	:	US
Telephone Number	:	610-551-3187
Fax Number	:

Provider Business Practice Location Address
First Line	:	4005 LUDLOW ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5826
Country	:	US
Telephone Number	:	267-529-0050
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	08/12/2021

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Directions to “ PAUL HOCHSCHWENDER ” Practice Location

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