Healthcare Provider Details

I. General information

NPI: 1376513648
Provider Name (Legal Business Name): YORK REHABILITATION ASSOC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 LOUCKS ROAD
YORK PA
17404
US

IV. Provider business mailing address

PO BOX 175
NORTHUMBERLAND PA
17857
US

V. Phone/Fax

Practice location:
  • Phone: 717-767-8745
  • Fax: 717-764-1601
Mailing address:
  • Phone: 570-988-0925
  • Fax: 570-988-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARRA DELOSANGELES
Title or Position: PHYSICIAN
Credential: MD
Phone: 717-767-8745