Healthcare Provider Details

I. General information

NPI: 1578663894
Provider Name (Legal Business Name): OSL DBA ORTHOPEDIC INSTITUTE OF PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 SIR THOMAS CT
HARRISBURG PA
17109-4839
US

IV. Provider business mailing address

3399 TRINDLE RD
CAMP HILL PA
17011-4413
US

V. Phone/Fax

Practice location:
  • Phone: 717-652-9555
  • Fax: 888-600-4127
Mailing address:
  • Phone: 717-761-5530
  • Fax: 717-737-7197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: CATHY GINGRICH
Title or Position: BILLING OFFICE MANAGER
Credential:
Phone: 717-901-4236