Healthcare Provider Details

I. General information

NPI: 1689711616
Provider Name (Legal Business Name): THE PHILADELPHIA HAND CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 04/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 CHESTNUT ST SUITE G114
PHILADELPHIA PA
19107-5127
US

IV. Provider business mailing address

950 PULASKI DR STE 100
KING OF PRUSSIA PA
19406-2802
US

V. Phone/Fax

Practice location:
  • Phone: 610-768-5940
  • Fax:
Mailing address:
  • Phone: 610-768-5940
  • Fax: 610-768-5947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW B COONEY
Title or Position: EXECUTIVE DIRECTOR
Credential: CPA
Phone: 610-768-5940