Provider Demographics
NPI:1497959167
Name:HAND AND ARTHRITIS REHABILITATION CENTER, INC.
Entity Type:Organization
Organization Name:HAND AND ARTHRITIS REHABILITATION CENTER, INC.
Other - Org Name:HAND AND UPPER BODY REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:OT, CHT
Authorized Official - Phone:814-453-4743
Mailing Address - Street 1:300 STATE ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1427
Mailing Address - Country:US
Mailing Address - Phone:814-453-4743
Mailing Address - Fax:814-453-7199
Practice Address - Street 1:300 STATE ST
Practice Address - Street 2:SUITE 206
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1427
Practice Address - Country:US
Practice Address - Phone:814-453-4743
Practice Address - Fax:814-453-7199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-14
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000006623332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6088790001Medicare NSC