Healthcare Provider Details

I. General information

NPI: 1437884186
Provider Name (Legal Business Name): BENCHMARK THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2022
Last Update Date: 07/18/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 MCKEE RD
DOVER DE
19904-2268
US

IV. Provider business mailing address

PO BOX 870
HUNTINGDON PA
16652-0870
US

V. Phone/Fax

Practice location:
  • Phone: 814-506-8212
  • Fax:
Mailing address:
  • Phone: 814-506-8212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BROCK D. EPPLEY
Title or Position: CEO
Credential:
Phone: 814-506-8212