MEDICARE: PENNS WOOD PHYSICAL THERAPY LIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1326253782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PENNS WOOD PHYSICAL THERAPY LIM

Provider Business Mailing Address
First Line	:	1300 W SAM HOUSTON PKWY S
Second Line	:	SUITE 300
City	:	HOUSTON
State	:	TX
Zip	:	77042-2447
Country	:	US
Telephone Number	:	713-297-7000
Fax Number	:	713-297-7090

Provider Business Practice Location Address
First Line	:	419 VILLAGE DR
Second Line	:	SUITE 3
City	:	CARLISLE
State	:	PA
Zip	:	17015-6943
Country	:	US
Telephone Number	:	717-240-0330
Fax Number	:	717-240-0233

Authorized Official
Title or Position	:	VP, AUTHORIZED OFFICIAL
Name	:	JANNA P. KING
Credential	:
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	01/15/2008

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