Provider Demographics
NPI:1285865634
Name:HOME ACCESS REHABILITATION LLC
Entity Type:Organization
Organization Name:HOME ACCESS REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:610-642-1990
Mailing Address - Street 1:355 LANCASTER AVE
Mailing Address - Street 2:BUILDING E
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1547
Mailing Address - Country:US
Mailing Address - Phone:610-642-1990
Mailing Address - Fax:
Practice Address - Street 1:355 LANCASTER AVE
Practice Address - Street 2:BUILDING E
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1547
Practice Address - Country:US
Practice Address - Phone:610-642-1990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT011375L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty