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General NPI Number Information
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NPI Number | 1932431152
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Entity Type | Organization
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Legal Business Name | COLD LASER PAIN THERAPY, LLC
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Dates
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Enumeration Date | 02/13/2010
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Last Update Date | 02/13/2010
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Provider Practice Location Address
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Address Line | 3214 E MARKET ST SUITE 5
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City | YORK
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State | PA
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Zip | 17402-2514
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Country | US
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Telephone | 888-597-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 E MARKET ST SUITE 5
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City | YORK
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State | PA
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Zip | 17402-2514
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Country | US
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Telephone | 888-597-4325
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH DANIEL OBERHOLZER
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Credential | PT
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Telephone | 888-597-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT013330L
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License Number State | PA
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