Provider Demographics
NPI:1013379338
Name:INSTITUTE FOR HAND AND UPPER EXTREMITY REHABILITATION, INC.
Entity Type:Organization
Organization Name:INSTITUTE FOR HAND AND UPPER EXTREMITY REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L CHT
Authorized Official - Phone:215-348-9549
Mailing Address - Street 1:65 E BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5211
Mailing Address - Country:US
Mailing Address - Phone:215-348-9549
Mailing Address - Fax:215-348-3273
Practice Address - Street 1:798 HAUSMAN RD
Practice Address - Street 2:STE 200
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-9108
Practice Address - Country:US
Practice Address - Phone:610-391-9000
Practice Address - Fax:610-391-9001
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSTITUTE FOR HAND AND UPPER EXTREMITY REHABILITATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-25
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1518953751Medicare PIN
PA1497832794Medicare PIN
PA1174519656Medicare PIN