Provider Demographics
NPI:1033139605
Name:HARLAN, MIRANDA F (OT CHT)
Entity Type:Individual
Prefix:
First Name:MIRANDA
Middle Name:F
Last Name:HARLAN
Suffix:
Gender:F
Credentials:OT CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 N POINTE BLVD
Mailing Address - Street 2:ORTHOPEDIC ASSOCIATES OF LANCASTER LTD
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4132
Mailing Address - Country:US
Mailing Address - Phone:717-299-4871
Mailing Address - Fax:717-391-2494
Practice Address - Street 1:170 N POINTE BLVD
Practice Address - Street 2:ORTHOPEDIC ASSOCIATES OF LANCASTER LTD
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4132
Practice Address - Country:US
Practice Address - Phone:717-299-4871
Practice Address - Fax:717-391-2494
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001483L225X00000X, 225XE1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomics
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA199438OtherHEALTHAMERICA/HEALTHASSUR
232910288OtherTRICARE
PA1650481OtherAMERIHEALTH ADMINISTRATOR
PA50001133OtherCAPITAL BLUE CROSS
PA603045001OtherUS DEPT OF LABOR
PA50001133OtherNCAS
PA0873403000OtherKEYSTONE HEALTH PLAN EAST
PA0873403000OtherINDEPENDENCE BLUE CROSS
PA7531332OtherAETNA
PA22162062OtherWAUSAU DEVON
PA50001133OtherKEYSTONE HEALTH PLAN CENT
PAP00276041Medicare ID - Type UnspecifiedRAILROAD MEDICARE
PA063490QKZMedicare ID - Type UnspecifiedMEDICARE