Healthcare Provider Details

I. General information

NPI: 1053348409
Provider Name (Legal Business Name): DRAYER PHYSICAL THERAPY INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 LOUCKS RD SUITE 200
YORK PA
17408-7902
US

IV. Provider business mailing address

1805 LOUCKS RD SUITE 200
YORK PA
17408-7902
US

V. Phone/Fax

Practice location:
  • Phone: 717-764-0144
  • Fax: 717-764-0554
Mailing address:
  • Phone: 717-764-0144
  • Fax: 717-764-0554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LUKE DRAYER
Title or Position: CEO
Credential:
Phone: 717-220-2100