Healthcare Provider Details

I. General information

NPI: 1366883894
Provider Name (Legal Business Name): THE PAI CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 ROHRERSTOWN RD
LANCASTER PA
17601-2322
US

IV. Provider business mailing address

1810 ROHRERSTOWN RD
LANCASTER PA
17601-2322
US

V. Phone/Fax

Practice location:
  • Phone: 717-519-6740
  • Fax: 717-519-6746
Mailing address:
  • Phone: 717-519-6740
  • Fax: 717-519-6746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER SHAAK
Title or Position: CEO
Credential:
Phone: 717-519-6740