Healthcare Provider Details

I. General information

NPI: 1598769085
Provider Name (Legal Business Name): DENNIS C OSTRANDER MS, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 LIBERTY ST E STE D
YORK SC
29745-2239
US

IV. Provider business mailing address

PO BOX 392573
PITTSBURGH PA
15251-1661
US

V. Phone/Fax

Practice location:
  • Phone: 803-818-5578
  • Fax: 803-818-5887
Mailing address:
  • Phone: 864-834-9701
  • Fax: 864-676-1468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number020670
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13551
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6597
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: