Provider Demographics
NPI:1629225040
Name:ESPRIT PEDIATRIC REHABILITATION INC
Entity Type:Organization
Organization Name:ESPRIT PEDIATRIC REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:LEAH
Authorized Official - Last Name:HALE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:717-495-1207
Mailing Address - Street 1:1325 HILLCROFT LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-4025
Mailing Address - Country:US
Mailing Address - Phone:717-495-1207
Mailing Address - Fax:717-843-6435
Practice Address - Street 1:1325 HILLCROFT LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4025
Practice Address - Country:US
Practice Address - Phone:717-495-1207
Practice Address - Fax:717-843-6435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-27
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-011529-L252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency