Healthcare Provider Details
I. General information
NPI: 1013961697
Provider Name (Legal Business Name): HARTZ PHYSICAL THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2006
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 HIGHLANDS DR SUITE 100
LITITZ PA
17543-7693
US
IV. Provider business mailing address
100 HIGHLANDS DR SUITE 100
LITITZ PA
17543-7693
US
V. Phone/Fax
- Phone: 717-625-2228
- Fax: 717-625-0959
- Phone: 717-625-2228
- Fax: 717-625-0959
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
BRIAN
HARTZ
Title or Position: PRESIDENT
Credential: DPT
Phone: 717-625-2228