Provider Demographics
NPI:1275743031
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:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL, CHT
Authorized Official - Phone:215-348-9549
Mailing Address - Street 1:65 E BUTLER AVE
Mailing Address - Street 2:SUITE 101
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 1:65 E BUTLER AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW BRITAIN
Practice Address - State:PA
Practice Address - Zip Code:18901-5211
Practice Address - Country:US
Practice Address - Phone:215-348-9549
Practice Address - Fax:215-348-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOOC01267L225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0362361000OtherPA BLUE SHIELD
PA2553859OtherAETNA
PA2011951000OtherPERSONAL CHOICE GROUP
PA2011951000OtherPERSONAL CHOICE GROUP
PA488311Medicare ID - Type UnspecifiedMEDICARE