Healthcare Provider Details

I. General information

NPI: 1508417601
Provider Name (Legal Business Name): GEORGE FERRIS NEUROHOPE CENTER , LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5930 6TH AVE STE 1
ALTOONA PA
16602-1115
US

IV. Provider business mailing address

604 BALDWIN LN
HOLLIDAYSBURG PA
16648-3237
US

V. Phone/Fax

Practice location:
  • Phone: 814-312-6898
  • Fax:
Mailing address:
  • Phone: 814-515-1049
  • Fax: 814-515-1050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. STACY L DUBOIS
Title or Position: OWNER
Credential: OT
Phone: 814-312-6898