Provider Demographics
NPI:1558469924
Name:HERSHEY, HIRAM PETER (OTRL CHT)
Entity Type:Individual
Prefix:MR
First Name:HIRAM
Middle Name:PETER
Last Name:HERSHEY
Suffix:
Gender:M
Credentials:OTRL CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1151 SUMNEYTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438
Mailing Address - Country:US
Mailing Address - Phone:610-287-0407
Mailing Address - Fax:
Practice Address - Street 1:680 MAIN STREET
Practice Address - Street 2:HERSHEY OT & HAND THERAPY
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438
Practice Address - Country:US
Practice Address - Phone:215-256-7881
Practice Address - Fax:215-256-7881
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002020-L225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA074450R7GMedicare ID - Type Unspecified