Healthcare Provider Details
I. General information
NPI: 1306879507
Provider Name (Legal Business Name): ADAMS COUNTY PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2006
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
110 W EISENHOWER DR STE E
HANOVER PA
17331-1147
US
IV. Provider business mailing address
110 W EISENHOWER DR STE E
HANOVER PA
17331-1147
US
V. Phone/Fax
- Phone: 717-646-8104
- Fax:
- Phone: 717-646-8104
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
BINSTEIN
Title or Position: VP/AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000