Healthcare Provider Details

I. General information

NPI: 1326015116
Provider Name (Legal Business Name): TIMOTHY DANIEL THORNE OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 S ANTRIM WAY
GREENCASTLE PA
17225-1521
US

IV. Provider business mailing address

310 LORTZ AVE
CHAMBERSBURG PA
17201-3416
US

V. Phone/Fax

Practice location:
  • Phone: 223-465-2006
  • Fax:
Mailing address:
  • Phone: 717-446-0055
  • Fax: 717-446-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC010806
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: