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General NPI Number Information
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NPI Number | 1326146226
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Entity Type | Organization
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Legal Business Name | MAIN LINE HAND CENTER LLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/01/2008
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Provider Practice Location Address
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Address Line | 250 W LANCASTER AVE SUITE 205
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City | PAOLI
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State | PA
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Zip | 19301-1743
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Country | US
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Telephone | 610-651-8282
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Fax | 610-651-8213
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Provider Business Mailing Address
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Address Line | 250 W LANCASTER AVE SUITE 205
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City | PAOLI
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State | PA
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Zip | 19301-1743
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Country | US
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Telephone | 610-651-8282
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Fax | 610-651-8213
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | MRS. ROBERTA F MORRIS
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Credential | OTRL CHR
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Telephone | 610-651-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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